DANIEL MICHAEL WALLSTEN QMHA-R NPI 1306514245

NPI Information

  • NPI: 1306514245
  • Provider Name: DANIEL MICHAEL WALLSTEN, QMHA-R
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 8915 SW CENTER ST
    TIGARD, OR
    ZIP 97223
  • Phone: (035) 726-3690

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NPI Details

Daniel Michael Wallsten, QMHA-R is a mental health counselor in Tigard, OR. Daniel Michael Wallsten, QMHA-R NPI is 1306514245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8915 SW CENTER ST
TIGARD, OR
ZIP 97223-307
Phone: (035) 726-3690

The enumeration date for this NPI number is 9/4/2021 and was last updated on 9/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care Coordinator21-QMHA-R-1543OREGONNo
2101YM0800XCounselorMental HealthQMHP-ROREGONNo
3101YM0800XCounselorMental Health23-QMHP-R-2358OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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