TASHA ANNE WALTER CADC 1, CRM, PSS
NPI 1114499324
Counselor - Addiction (Substance Use Disorder) in Coos Bay, OR

Active since December 28, 2018
155 S EMPIRE BLVD, COOS BAY, OR 97420(541) 756-3111(541) 756-2111 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2019, Jan 7, 2019, Dec 28, 2018 (3 updates tracked since 2018).

About Tasha Anne Walter Cadc 1, Crm, Pss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TASHA ANNE WALTER CADC 1, CRM, PSS (NPI 1114499324) is an individual addiction (substance use disorder) provider in Coos Bay, Oregon, licensed in Oregon (12-12-62) and active in the NPI registry since December 2018. She maintains a secondary practice location in Coos Bay.

NPPES Registry Identity

NPI1114499324
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTASHA ANNE WALTERCredential: CADC 1, CRM, PSS
Location Address155 S EMPIRE BLVDCoos Bay, OR 97420-3374
Mailing Address1942 Sheridan AveNorth Bend, OR 97459-3416 · (541) 756-3111 · Fax (541) 756-2111
Fax(541) 756-2111
Sole ProprietorNo
Enumeration DateDecember 28, 2018
Last NPPES UpdateApril 15, 20193 updates tracked since enumeration
NPI 1114499324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · 12-12-62
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 19-QMHA-I-00761 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License 11-CRM-131 (OR), THW000002674 (OR)
155 S EMPIRE BLVD, Coos Bay, OR 97420

Secondary Practice Location 1

Location 11741 Newmark AveCoos Bay, OR 97420-4704 · Phone (541) 756-3111 · Fax (541) 756-2111

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tasha Walter's NPI number?

The NPI number for Tasha Walter is 1114499324. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is Tasha Walter located?

Tasha Walter practices at 155 S Empire Blvd, Coos Bay, OR 97420. The listed phone number is (541) 756-3111.

What is Tasha Walter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tasha Walter was last updated on April 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.