Provider Demographics
NPI:1306642111
Name:WALKER, SHERMAN (MA-PC)
Entity type:Individual
Prefix:
First Name:SHERMAN
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:MA-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 CAMAS AVE NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-2780
Mailing Address - Country:US
Mailing Address - Phone:425-970-5461
Mailing Address - Fax:206-519-6701
Practice Address - Street 1:2007 CAMAS AVE NE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-2780
Practice Address - Country:US
Practice Address - Phone:425-970-5461
Practice Address - Fax:206-519-6701
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPC60379320246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy