Mrs. Gladys Charlotte Walgren
Orthotic Fitter
14780 Sw Osprey Dr
Beaverton
, Oregon 97007
Mrs. Gladys Charlotte Walgren
Orthotic Fitter
14780 Sw Osprey Dr
Beaverton
, Oregon 97007
(503) 319-8016
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mrs. Gladys Charlotte Walgren
- 12685 Sw Percheron Ln
- Beaverton, OR
- Zip : 97008-8125
- Phone : (503) 319-8016
Second Address
- Mrs. Gladys Charlotte Walgren
- 14780 Sw Osprey Dr
- Beaverton, OR
- Zip : 97007
- Phone : (503) 319-8016
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 13634 | OR |
National Provider Identifier
| NPI | 1407180185 |
|---|---|
| Provider Name | Mrs. Gladys Charlotte Walgren |
| First Address | Beaverton, OR 97008-8125 |
| Second Address | Beaverton, OR 97007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2009 |
| Last Update Date | 28/09/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.