Quinn Walker, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11646 Issued in OR

Practice address

29292 SW Town Center Loop E Ste a
Wilsonville, OR 97070-9491

Phone

(503) 682-0431

Fax

(503) 682-3873

NPI assigned

Jul 19, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1083349583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10281 S KRAXBERGER RD",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970139319",
            "telephone_number": "503-476-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29292 SW TOWN CENTER LOOP E STE A",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709491",
            "telephone_number": "503-682-0431",
            "fax_number": "503-682-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "QUINN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Walden, M.A., CCC-SLP
• Walgreen Co
• Candace Lyn Walhood, P.T.
• Brice Walker
• Marilee Ann Walker, OTR/L, SCLV
• James Leeman Wallace, LMT
• Jasmine Lorraine Walling, L.M.T.
• Ronald Floyd Walser, DPT
• Elizabeth Teresa Watkins
• Matthew Wayne

• Dentist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.