Provider Demographics
NPI:1023637428
Name:WALKLEY, TIMOTHY LAWRENCE (MSW)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:LAWRENCE
Last Name:WALKLEY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-2701
Mailing Address - Country:US
Mailing Address - Phone:503-550-9685
Mailing Address - Fax:
Practice Address - Street 1:211 N GARFIELD ST
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-2701
Practice Address - Country:US
Practice Address - Phone:503-550-9685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker