Individual provider · Type 1 NPI

Shepard Waltz

Counselor · Portland, OR

NPI number 1679469415 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 234-9591 Map

Other practice locations

  • 3415 SE Powell Blvd, Portland, OR 97202-3371 · (503) 234-9591

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1679469415

Shepard Waltz's National Provider Identifier is 1679469415, issued on Jun 17, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jun 17, 2025.