Individual provider · Type 1 NPI

Celia Diane Walta, RN

Case Management Registered Nurse · Portland, OR

NPI number 1851644595 Active

Practice location

17727 E Burnside St
Portland, OR 97233-4803

Mailing address

4531 SE Belmont St Ste 100
Portland, OR 97215-1675

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X200241219RN (OR)

Case Management Registered Nurse: Definition to come...

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About NPI 1851644595

Celia Diane Walta, RN's National Provider Identifier is 1851644595, issued on Oct 18, 2012. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Portland, OR. The record was last updated on Oct 18, 2012.