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

Shepard Waltz

Individual provider Counselor · NPI 1679469415

Shepard Waltz is a Counselor in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3415 SE Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
Show map & directions

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

Additional practice locations (1)

  • 3415 Se Powell Blvd, Portland, OR 97202-3371 — (503) 234-9591

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1679469415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

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