Walter, Brooke Kaiulani

Walter, Brooke Kaiulani is an individual health care provider with primary practice located at 1600 Ne Broadway St , Portland OR 97232-1426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Walter, Brooke Kaiulani can be contacted via phone (503) 963-3100.

Contact Information

Primary practice address
1600 Ne Broadway St Portland OR 97232-1426
Phone: (503) 963-3100
Fax: (503) 459-5398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD 60001443 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD151387 Oregon

Profile Details

NPI number 1861502361
LBN Legal business name Walter, Brooke Kaiulani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 16th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861502361 NPPES
Oregon MEDICAID 500628436
Oregon MEDICAID 1089540

Popular Providers