Walker, Derald Raymond

Walker, Derald Raymond is an individual health care provider with primary practice located at 847 Ne 19Th Ave , Portland OR 97232-2684. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Walker, Derald Raymond can be contacted via phone (503) 238-0769.

Contact Information

Primary practice address
847 Ne 19Th Ave Portland OR 97232-2684
Phone: (503) 238-0769
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1487831640
LBN Legal business name Walker, Derald Raymond
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2008
Last updated Jan 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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