Ethan Waln, RN
NPI 1679233498 · Acute Care Nurse Practitioner · Portland, OR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Waln, RN is a Acute Care Nurse Practitioner provider in Portland, OR (NPI 1679233498).
Provider details
- NPI number
- 1679233498
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10027961 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 890 Oak St SeSalem, OR 97301-3905Phone: (503) 814-5110
Registry dates
- Enumerated
- 2021-12-20
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Frequently asked questions
- What is Ethan Waln's NPI number?
- Ethan Waln's National Provider Identifier (NPI) is 1679233498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Waln's specialty?
- Ethan Waln is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ethan Waln located?
- Ethan Waln's practice location on file with NPPES is 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011.
- What is Ethan Waln's phone number?
- The practice phone number listed in the NPPES registry for Ethan Waln is (503) 494-4314.
- Does Ethan Waln accept Medicare?
- Ethan Waln is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Waln's NPI active?
- Yes — Ethan Waln's NPI (1679233498) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.