ETHAN WALN

PORTLAND, OR
NPI1679233498
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OR  10027961)
Enumeration Date2021-12-20
Last Update Date2025-09-02
Business Address
ETHAN WALN RN
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-4314
Mailing Address
ETHAN WALN RN
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855