Individual provider Active NPI

Rebecca Violet Wallender, LPN

  • Licensed Practical Nurse
  • Oregon City, OR
National Provider Identifier
1700761392
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
201803191LPN Issued in OR
Practice address
17968 S Holly LN
Oregon City, OR 97045-9011
Phone
(971) 346-6314
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201803191LPN OR Primary

Addresses

Primary practice location

17968 S Holly LN
Oregon City, OR 97045-9011

Mailing address

7133 N Lombard St
Portland, OR 97203-3205
Phone (206) 406-4848

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

State licenses

LicenseStateTypeSpecialty
201803191LPNORMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Behaviaral Analysis LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

7133 N Lombard St
Portland, OR 97203
Phone (503) 267-1844

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1700761392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033205",
            "telephone_number": "206-406-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17968 S HOLLY LN",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970459011",
            "telephone_number": "971-346-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENDER",
        "first_name": "REBECCA",
        "middle_name": "VIOLET",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201803191LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

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