Provider Demographics
NPI:1598994394
Name:WALKER, ELISABETH CLARK (MD)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:CLARK
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELISABETH
Other - Middle Name:CLARK
Other - Last Name:EDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:218 MAIN ST
Mailing Address - Street 2:#551
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6108
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:218 MAIN ST
Practice Address - Street 2:#551
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6108
Practice Address - Country:US
Practice Address - Phone:206-985-9553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037027207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology