Individual provider Active NPI

Marilyn Mills Walkey, MD, LAC

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1194883330
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18470 Issued in OR
Practice address
7875 SW Alden St
Portland, OR 97223-9336
Phone
(503) 608-8155
Fax
(503) 244-3015
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01190 OR
Family Medicine Physician 207Q00000X MD18470 OR Primary

Addresses

Primary practice location

7875 SW Alden St
Portland, OR 97223-9336

Mailing address

7875 SW Alden St
Portland, OR 97223-9336
Phone (503) 608-8155

Other identifiers 1

IdentifierTypeStateIssuer
279345OtherORDMAP (OREGON HEALTH PLAN)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AC01190ORMDAcupuncturist
MD18470ORMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1194883330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 SW ALDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239336",
            "telephone_number": "503-608-8155",
            "fax_number": "503-244-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 SW ALDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239336",
            "telephone_number": "503-608-8155",
            "fax_number": "503-244-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKEY",
        "first_name": "MARILYN",
        "middle_name": "MILLS",
        "name_prefix": "Dr.",
        "credential": "MD, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01190",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP (OREGON HEALTH PLAN)",
            "identifier": "279345",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.