Most Relevant Information
Provider Data
| NPI Number: | 1003413261 |
| Provider Name: | DYLAN WALKER |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | THW000104032 |
Most Important Dates
| Enumeration Date: | 10/01/2020 |
| Last Updated: | 10/01/2020 |
Provider Practice Location
1049 SW BASELINE ST
HILLSBORO
OR
971233835
Practice Location Phone/Fax
| Phone: | 5034652749 |
| Fax: |
Provider Mailing Location
PO BOX 16576
PORTLAND
OR
972920576
Provider Mailing Phone/Fax
| Phone: | 5034652749 |
| Fax: |