MEDICARE: ANGELA L WALKER

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	175T00000X	Peer Specialist		WA

General Provider Information

NPI Number	:	1538957642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA L WALKER

Provider Business Mailing Address
First Line	:	10607 SE 250TH PL UNIT I101
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98030-2876
Country	:	US
Telephone Number	:	360-519-7807
Fax Number	:

Provider Business Practice Location Address
First Line	:	10607 SE 250TH PL UNIT I101
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98030-2876
Country	:	US
Telephone Number	:	360-519-7807
Fax Number	:

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

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	04/24/2026

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Directions to “ ANGELA L WALKER ” Practice Location

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