Austin Waller

Peer Specialist · Bend, OR

Individual Active NPI

NPI number 1114716057

Practice location

550 NW Franklin Ave Ste 228
Bend, OR 97703-2892
Phone
(541) 516-6330

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NPI record

NPI
1114716057
Entity type
Individual (Type 1)
Enumeration date
May 6, 2025
Last updated
May 6, 2025
Certified
May 6, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Austin Waller

Austin Waller is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 550 NW Franklin Ave Ste 228, Bend, OR 97703-2892. The NPI number 1114716057 was assigned on May 6, 2025 and the record was last updated on May 6, 2025.

Frequently asked questions

What is the NPI number of Austin Waller?

The NPI number is 1114716057.

What is the phone number of Austin Waller?

The phone number listed for the practice location is (541) 516-6330.

Where is Austin Waller located?

550 NW Franklin Ave Ste 228, Bend, OR 97703-2892.

What is the taxonomy code for Austin Waller?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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