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NPI Code Detail

MEDICARE: RONALD WALLWAY

MEDICARE: RONALD WALLWAY
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
1225100000XPhysical TherapistPT00002187WA

General Provider Information

NPI Number : 1346283207
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD WALLWAY
Provider Business Mailing Address
First Line : 700 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-1913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-1913
Country : US
Telephone Number : 360-253-1225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 06/14/2026

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Directions to “ RONALD WALLWAY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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