Hana Safic Walkup, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8814 Issued in OR

Practice address

1001 SW 5TH Ave
Suite 222
Portland, OR 97204-1147

Phone

(503) 222-5355

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1851466221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 11TH AVE UNIT 707",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013538",
            "telephone_number": "503-201-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW 5TH AVE",
            "address_2": "SUITE 222",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041147",
            "telephone_number": "503-222-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKUP",
        "first_name": "HANA",
        "middle_name": "SAFIC",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Lashawn Walker, RN
• William Walker Jr., LCSW
• Marilyn Mills Walkey, MD, LAC
• Kalen Walkington, RN
• Jay Taran Walko, RN, MSN, AGPCNP-C
• Andrea Jane Wall, OTR/L
• Kimberly Lynn Wall, LCSW
• Michael Wall
• Michael Abraham Wall, MD
• Agustina Wallace

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.