Walker, Jonathan Reece
Walker, Jonathan Reece is an individual health care provider with primary practice located at 10202 Se 32Nd Ave 504, Milwaukie OR 97222-3610. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Walker, Jonathan Reece can be contacted via phone (503) 496-1190.Contact Information
Primary practice address
10202 Se 32Nd Ave 504
Milwaukie OR 97222-3610
Phone: (503) 496-1190
Fax: (503) 496-1195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1306077896 |
|---|---|
| LBN Legal business name | Walker, Jonathan Reece |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2009 |
| Last updated | Oct 28th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306077896 | NPPES |
| Oregon | MEDICAID | 123190 |
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