Konrad A Von Walther, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

443 NE Knott St
Portland, OR 97212-3108

Phone

(503) 985-9640

NPI assigned

Jul 12, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Konrad A Walther Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clackamas County

  • Federally Qualified Health Center (FQHC)
  • Sandy, OR
  • NPI 1841442001
  NPD (past)
• Clackamas County

  • Federally Qualified Health Center (FQHC)
  • Oregon City, OR
  • NPI 1841443587
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1356606537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KAEN RD",
            "address_2": "SUITE 367",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454035",
            "telephone_number": "503-742-5300",
            "fax_number": "503-742-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123108",
            "telephone_number": "503-985-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON WALTHER",
        "first_name": "KONRAD",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KONRAD",
            "last_name": "WALTHER",
            "middle_name": "A",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam R Von Passow, LCSW
• Andrew Nathaniel Von Plitt, ND
• Aaron Von Reyn, QMHA-R
• Kiska Von Schiller
• Britney Von Trapp
• Robert Carsten Vonborstel II, MD
• Jill Vonderhaar
• Vickie Lorraine Vonderohe, PHARM.D.
• Lindsay Ann Vondrachek
• Kristina Vongsa

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.