Individual provider · Type 1 NPI

Ethan Waln, RN

Acute Care Nurse Practitioner · Portland, OR

NPI number 1679233498 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 346-6810

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 890 Oak St SE, Salem, OR 97301-3905 · (503) 814-5110

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X10027961 (OR)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1679233498

Ethan Waln, RN's National Provider Identifier is 1679233498, issued on Dec 20, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Sep 2, 2025.