Individual provider Active NPI

Christine Marie Walter, LMT

  • Other Technician
  • Lake Oswego, OR
National Provider Identifier
1942687538
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
6186 Issued in OR
Practice address
14511 Westlake Dr
Suite 100
Lake Oswego, OR 97035-7783
Phone
(503) 598-8099
Fax
(503) 598-3980
NPI assigned
May 3, 2015
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 6186 OR Primary

Addresses

Primary practice location

14511 Westlake Dr
Suite 100
Lake Oswego, OR 97035-7783

Mailing address

14511 Westlake Dr
Suite 100
Lake Oswego, OR 97035-7783
Phone (503) 598-8099

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
6186ORMDClinical Social Worker

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1942687538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14511 WESTLAKE DR",
            "address_2": "SUITE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357783",
            "telephone_number": "503-598-8099",
            "fax_number": "503-598-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 WESTLAKE DR",
            "address_2": "SUITE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357783",
            "telephone_number": "503-598-8099",
            "fax_number": "503-598-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-03",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "OR",
            "license": "6186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.