Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dustin Lee Walls, SLP-CCC

Individual provider Speech-Language Pathologist · NPI 1548802515

Dustin Lee Walls, SLP-CCC is a Qualified Speech Language Pathologist in Vancouver, Washington. Qualified in 2017, 9 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2019
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Practice location Address checks out

9414 NE Fourth Plain Blvd
Vancouver, WA 98662-6109
Phone: (360) 892-5142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence LL60917848 (WA)

Record details

NPI number1548802515
Entity typeIndividual (Type 1)
GenderMale
Credentials SLP-CCC
Sole proprietorYes
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vancouver