Individual provider · Type 1 NPI

Austin Waller

Peer Specialist · Bend, OR

NPI number 1114716057 Active

Practice location

550 NW Franklin Ave Ste 228
Bend, OR 97703-2892

Call (541) 516-6330 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1114716057

Austin Waller's National Provider Identifier is 1114716057, issued on May 6, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bend, OR. The record was last updated on May 6, 2025.