Provider Demographics
NPI:1649624024
Name:WALKER, SARAH (ND)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 SE FLOSS ST # C
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-5635
Mailing Address - Country:US
Mailing Address - Phone:503-896-7397
Mailing Address - Fax:
Practice Address - Street 1:3200 SE FLOSS ST # C
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-5635
Practice Address - Country:US
Practice Address - Phone:503-896-7397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3077175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath