Individual provider · Type 1 NPI

Jordan Waltz

Peer Specialist · Lincoln City, OR

NPI number 1881504710 Active

Practice location

4422 NE West Devils Lake Blvd
Lincoln City, OR 97367

Call (541) 265-4196 Map

Mailing address

53 SW Lee St
Newport, OR 97365-3823

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 1881504710

Jordan Waltz's National Provider Identifier is 1881504710, issued on Sep 11, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lincoln City, OR. The record was last updated on Sep 11, 2026.