IndividualActive
Anne Wallis, RN
NPI 1396210100 · Home Health Registered Nurse · Portland, OR
Provider details
- NPI number
- 1396210100
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 201406034RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
13007 Ne Glisan St
Portland, OR 97230-2545
Phone: (503) 215-7850
Approximate (ZIP-level) locationGet directions
Mailing address
4531 Se Belmont St Ste 100
Portland, OR 97215-1675
Registry dates
- Enumerated
- 2018-10-08
- Last updated
- 2018-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.