Organization · Type 2 NPI

Aria Walker, Lac

Multi-Specialty Clinic/Center · Portland, OR

NPI number 1124563440 Active

Practice location

1235 SE Division St, Suite 206
Portland, OR 97202-1099

Fax (888) 653-7244

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XAC167797 (OR)

Multi-Specialty Clinic/Center: Definition to come...

26 other providers at this address

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About NPI 1124563440

Aria Walker, Lac's National Provider Identifier is 1124563440, issued on Dec 21, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Portland, OR. The record was last updated on Dec 21, 2016.