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General NPI Number Information
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NPI Number | 1699050351
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Entity Type | Individual
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Provider Name | WALKER JAMEY KIRKPATRICK N.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 1800 BLANKENSHIP ROAD SUITE 218
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City | WEST LINN
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State | OR
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Zip | 97068
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Country | US
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Telephone | 805-305-4588
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Fax | 971-925-4846
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Provider Business Mailing Address
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Address Line | 17147 S. MCCUBBIN RD. SUITE 218
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City | OREGON CITY
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State | OR
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Zip | 97045
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Country | US
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Telephone | 805-305-4588
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Fax | 971-925-4846
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND611
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1840
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License Number State | OR
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