Individual provider · Type 1 NPI

Walter Malanowski

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI number 1295488575 Active

Practice location

722 NE 162nd Ave
Portland, OR 97230-5760

Mailing address

424 NE 22nd Ave
Portland, OR 97232-2809

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X201801029RN (OR)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1295488575

Walter Malanowski's National Provider Identifier is 1295488575, issued on Jan 27, 2022. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Portland, OR. The record was last updated on Jan 27, 2022.