BROOKE KAIULANI WALTER


Address: 1600 Ne Broadway St, Portland, OR 97232-1426
Phone: 5039633100

BROOKE KAIULANI WALTER (NPI# 1861502361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861502361
Entity Type Individual
Full Name BROOKE KAIULANI WALTER
Other Name BROOKE KAULANI GERTON
Credential M.D.
Practice Address 1600 Ne Broadway St
Portland
OR 97232-1426
Mailing Address 847 Ne 19th Ave
Suite 300
Portland
OR 97232-2684
Practice Telephone 5039633100
Practice Fax Number 5034595398
Mailing Telephone 5039632801
Mailing Fax Number 5039632825
Enumeration Date 2006-08-30
Last Update Date 2013-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD151387 OR Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD 60001443 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 500628436 05
WA 1089540 05

Office Location

Street Address 1600 NE BROADWAY ST
City PORTLAND
State OR
Zip Code 97232-1426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588656896 Richard Barry Rosenbaum Psychiatry & Neurology 1600 Ne Broadway St, Portland, OR 97232-1426 2005-08-22
1962924290 Liberty Karp Social Worker 1600 Ne Broadway St, Portland, OR 97232-1426 2017-07-07
1558716498 Tori Fornaciari Social Worker 1600 Ne Broadway St, Portland, OR 97232-1426 2016-04-28
1750735387 Kelli Unzicker Social Worker 1600 Ne Broadway St, Portland, OR 97232-1426 2016-04-20
1821453093 Melissa Keller Social Worker 1600 Ne Broadway St, Portland, OR 97232-1426 2015-12-15
1891011532 Jane A Ware Internal Medicine 1600 Ne Broadway St, Portland, OR 97232-1426 2010-04-19
1518156504 Paula Anne Gerber-gore Psychiatry & Neurology 1600 Ne Broadway St, Portland, OR 97232-1426 2007-10-16
1457542391 Nicole B Weksler Internal Medicine 1600 Ne Broadway St, Portland, OR 97232-1426 2007-08-06
1821210956 Jami Rae Silflow Family Medicine 1600 Ne Broadway St, Portland, OR 97232-1426 2007-05-02
1396963484 Leigh Michelle Shafir Physician Assistant 1600 Ne Broadway St, Portland, OR 97232-1426 2007-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293215 Oregon Change Clinic Clinic/Center 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 2020-10-17
1154969947 Lori Kristen Miracle Acupuncturist Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 2019-12-12
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750739132 Neil William Douglas Thomas Psychiatry & Neurology 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 2016-05-26
1205283462 Candice Kam Psychiatry & Neurology 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 2016-05-18
1881937050 Michael Saul Farris Psychiatry & Neurology Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 2013-04-05
1831460377 Dennis B Smith Psychiatry & Neurology 827 Nw 25th Ave, Portland, OR 97210-3808 2012-01-13
1184883381 Michelle Hannah Cameron Psychiatry & Neurology 3181 Sw Sam Jackson Park Rd # L226, Portland, OR 97239-3011 2008-06-03
1043484801 Aimee Lucinda Pierce Psychiatry & Neurology 3303 Sw Bond Ave Ste 8, Portland, OR 97239-4501 2008-04-14
1083800106 Alyson Maloy Psychiatry & Neurology 449 Forest Ave # 214, Portland, ME 04101-2029 2007-09-21
1164647061 Matthew Michael Evans Psychiatry & Neurology 5050 Ne Hoyt St Ste 315, Portland, OR 97213-2982 2007-04-16
1477670255 Vivek Unni Psychiatry & Neurology Chh, 3303 S.w. Bond Ave., Portland, OR 97239 2007-03-25
1780711135 Holly Elaine Hinson Psychiatry & Neurology 3181 S.w. Sam Jackson Park Road, Cr-129, Portland, OR 97239 2007-02-27
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97232

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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