Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Owen Wallulatum, CRM

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265966055

Owen Wallulatum, CRM is an Addiction (Substance Use Disorder) Counselor in Redmond, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

340 NW 5th St Box 1710
Redmond, OR 97756-1869
Phone: (541) 516-4087
Fax: (541) 504-1195
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 17 CRM 065 (OR)

Record details

NPI number1265966055
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESApril 18, 2017

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