Provider Demographics
NPI:1215328984
Name:WALLS, JULIA (DACM)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:WALLS
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2031 SE BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2812
Mailing Address - Country:US
Mailing Address - Phone:503-489-8480
Mailing Address - Fax:503-922-3048
Practice Address - Street 1:6464 SW BORLAND RD STE B6
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8859
Practice Address - Country:US
Practice Address - Phone:503-489-8480
Practice Address - Fax:503-922-3048
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC167655171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist