Individual
BRITTANI WALLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10230 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-2821
(503) 535-1151
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10051439
OR
Other
Enumeration date
04/17/2021
Last updated
12/01/2025
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