Provider Demographics
NPI:1699050351
Name:KIRKPATRICK, WALKER JAMEY (ND)
Entity type:Individual
Prefix:DR
First Name:WALKER
Middle Name:JAMEY
Last Name:KIRKPATRICK
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17147 S. MCCUBBIN RD.
Mailing Address - Street 2:SUITE 218
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045
Mailing Address - Country:US
Mailing Address - Phone:805-305-4588
Mailing Address - Fax:971-925-4846
Practice Address - Street 1:1800 BLANKENSHIP ROAD
Practice Address - Street 2:SUITE 218
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068
Practice Address - Country:US
Practice Address - Phone:805-305-4588
Practice Address - Fax:971-925-4846
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND611175F00000X
OR1840175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath