IndividualActive
Bonnie Waltz, RN
NPI 1306354402 · Psychiatric/Mental Health Registered Nurse · Portland, OR
Provider details
- NPI number
- 1306354402
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
847 Ne 19th Ave Ste 100
Portland, OR 97232-2684
Phone: (503) 238-0769
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2018-01-11
- Last updated
- 2018-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.