IndividualActive
Jordan Walle
NPI 1780330282 · Public Health Dentistry · Klamath Falls, OR
Provider details
- NPI number
- 1780330282
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Student, Health Care
Practice location
2074 S 6th St
Klamath Falls, OR 97601-3372
Phone: (541) 851-8110
Approximate (ZIP-level) locationGet directions
Mailing address
2074 S 6th St
Klamath Falls, OR 97601-3372
Registry dates
- Enumerated
- 2022-02-23
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.