Brittani Wallsten

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

10051439 Issued in OR

Practice address

10230 SE Cherry Blossom Dr
Portland, OR 97216-2821

Phone

(503) 535-1151

NPI assigned

Apr 17, 2021

Sex

Female

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

• Brittani Southard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1417538851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8459",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 SE CHERRY BLOSSOM DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162821",
            "telephone_number": "503-535-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLSTEN",
        "first_name": "BRITTANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10051439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANI",
            "last_name": "SOUTHARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Wallner, LPC
• Ayanna Z'Kiyah Nneka Walls, LPN
• Bryan Dean Walls, D.O.
• Kirsten Elena Wallskog, PHARMD
• Christie Wallsmith, M.D.
• Daniel Michael Wallsten, CSWA
• Walmart Inc. (Walmart Pharmacy 10-2552)
• Hannah Marie Walmer
• Latasha Walmer
• Ethan Waln, RN

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.