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General NPI Number Information
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NPI Number | 1780181578
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Entity Type | Individual
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Provider Name | PHILIP W WALKER MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 08/10/2024
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Provider Practice Location Address
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Address Line | 9155 SW BARNES RD STE 420
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City | PORTLAND
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State | OR
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Zip | 97225-6631
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Country | US
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Telephone | 503-297-3660
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Fax | 503-297-2360
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Provider Business Mailing Address
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Address Line | 9155 SW BARNES RD STE 420
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City | PORTLAND
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State | OR
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Zip | 97225-6631
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Country | US
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Telephone | 503-297-6334
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Fax | 503-297-2360
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD218416
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 135862
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License Number State | PA
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