MEDICARE: MELINDA WALKER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	64100	OR

General Provider Information

NPI Number	:	1144659772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA WALKER DPT

Provider Business Mailing Address
First Line	:	656 SW LEVENS ST
Second Line	:
City	:	DALLAS
State	:	OR
Zip	:	97338-1852
Country	:	US
Telephone Number	:	503-396-9456
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 MAIN ST # 326
Second Line	:
City	:	DALLAS
State	:	OR
Zip	:	97338-3312
Country	:	US
Telephone Number	:	503-837-1316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2013
Last Update Date	:	07/10/2023

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Directions to “ MELINDA WALKER DPT” Practice Location

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