Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | D9408 | OR |
N | 1223X0400X | Orthodontists | DE00010300 | WA |
NPI | 1043281009 |
---|---|
Provider Name | Dr. Camille E Walker |
First Address | Beaverton, OR 97007-8028 |
Second Address | Beaverton, OR 97007-8028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 19/12/2013 |