Provider Demographics
NPI:1053290882
Name:WALKER, ELLE PEDERSEN (AAC)
Entity type:Individual
Prefix:
First Name:ELLE
Middle Name:PEDERSEN
Last Name:WALKER
Suffix:
Gender:M
Credentials:AAC
Other - Prefix:
Other - First Name:ELI
Other - Middle Name:PEDERSEN
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AAC
Mailing Address - Street 1:2600 SW HOLDEN ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3505
Mailing Address - Country:US
Mailing Address - Phone:206-326-9057
Mailing Address - Fax:
Practice Address - Street 1:2600 SW HOLDEN ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3505
Practice Address - Country:US
Practice Address - Phone:206-326-9057
Practice Address - Fax:206-933-7022
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist