Active NPI
Evelyn Marie Waldon, RN
- Community Health Registered Nurse
- Gresham, OR
National Provider Identifier
1578570446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 00025865
- Practice address
- 825 NE 22ND St
Gresham, OR 97030-4023 - Phone
- (503) 669-9710
- Fax
- (503) 666-0123
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 00025865 | OR | Primary |
Addresses
Primary practice location
825 NE 22ND St
Gresham, OR 97030-4023
Mailing address
825 NE 22ND St
Gresham, OR 97030-4023
Phone (503) 669-9710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00025865 | OR | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789862400000",
"number": "1578570446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 NE 22ND ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970304023",
"telephone_number": "503-669-9710",
"fax_number": "503-666-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NE 22ND ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970304023",
"telephone_number": "503-669-9710",
"fax_number": "503-666-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDON",
"first_name": "EVELYN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2026-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": "00025865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.