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Jordan Waltz

NPI 1881504710 · on the registry since 2026 · sole proprietor

Practice

Address
4422 Ne West Devils Lake Blvd
Lincoln City, OR 97367
Phone
(541) 265-4196

Registry record

Primary taxonomy
175T00000X
175T00000X
Sex
Male
Record last updated
2026-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon