JAY TARAN WALKO RN MSN AGPCNP-C NPI 1558879502

NPI Information

NPI: 1558879502
Provider Name: JAY TARAN WALKO, RN, MSN, AGPCNP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
5701 SW MULTNOMAH BLVD
PORTLAND, OR
ZIP 97219
Phone: (503) 244-1107
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Jay Taran Walko, RN, MSN, AGPCNP-C is an adult health nurse practitioner in Portland, OR. Jay Taran Walko, RN, MSN, AGPCNP-C NPI is 1558879502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5701 SW MULTNOMAH BLVD
PORTLAND, OR
ZIP 97219-195
Phone: (503) 244-1107

The NPI 1558879502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2018 and was last updated on 4/20/2023.

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
1	163WC0200X	Registered Nurse	Critical Care Medicine	RN2012423683	OREGON	No
2	363LA2200X	Nurse Practitioner	Adult Health	12345	OREGON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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