Nicole Walters

Primary specialty

Social WorkerTaxonomy code 104100000X

License

A15799 Issued in OR

Practice address

1221 SW Yamhill St Ste 301
Portland, OR 97205-2110

Phone

(503) 226-7079

NPI assigned

Oct 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jewish Family & Child Service

  • Voluntary or Charitable Agency
  • Portland, OR
  • NPI 1598706954
  NPD

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1467270116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SW YAMHILL ST STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052110",
            "telephone_number": "503-226-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SW YAMHILL ST STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052110",
            "telephone_number": "503-226-7079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2745 NE 35th Pl",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972122721",
            "country_code": "US",
            "telephone_number": "720-237-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A15799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Walter, MD
• Ashleigh Elizabeth Walters, PT, DPT
• Kai'Annica Walters
• Lee Walters, MD
• Natalie A. Walters
• Rachael Lee Walters
• Robert Joseph Walters, PHARMD
• William Robert Walters III, MD
• Ryanne Kate Walther, M.D.
• Denise Marie Walthour, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.