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Contact Information

WALNUT GROUP MANAGEMENT
1502 NORTH PINE ST
LA GRANDE, OR97850
 Phone: 541-963-7432
 Fax: 541-963-0597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for WALNUT GROUP MANAGEMENT · (Female)

NPI Number 1891983441
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2007
Last updated 10/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 651161
  • OR Medicaid 196972
  • OR Other 173668502619 WORKER'S COMP
  • WA Other 196671 WORKER'S COMP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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