Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD200466 | OR |
Y | 2080P0208X | Pediatric Infectious Diseases | MD200466 | OR |
NPI | 1588907398 |
---|---|
Provider Name | Dr. Lorne William Walker |
First Address | Portland, OR 97239 |
Second Address | Portland, OR 97239-3098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 06/08/2020 |