AUSTIN WALLER
NPI 1114716057
Peer Specialist in Bend, OR

Active since May 06, 2025
550 NW FRANKLIN AVE STE 228, BEND, OR 97703(541) 516-6330 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Austin Waller NPPES

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

AUSTIN WALLER (NPI 1114716057) is an individual peer specialist in Bend, Oregon and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1114716057
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameAUSTIN WALLER
Location Address550 NW FRANKLIN AVE STE 228Bend, OR 97703-2892
Mailing Address550 Nw Franklin Ave Ste 228Bend, OR 97703-2892
Sole ProprietorNo
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
NPI 1114716057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

550 NW FRANKLIN AVE STE 228, Bend, OR 97703

Other Providers at the Same Location NPPES 11

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

Counselor (Mental Health)
550 NW FRANKLIN AVE STE 228
BEND, OR 97703
Counselor (Mental Health)
550 NW FRANKLIN AVE STE 228
BEND, OR 97703
Counselor (Mental Health)
550 NW FRANKLIN AVE STE 228
BEND, OR 97703
Counselor (Mental Health)
550 NW FRANKLIN AVE STE 228
BEND, OR 97703
Peer Specialist
550 NW FRANKLIN AVE STE 228
BEND, OR 97703
Counselor (Mental Health)
550 NW FRANKLIN AVE STE 228
BEND, OR 97703
Counselor (Mental Health)
550 NW FRANKLIN AVE STE 228
BEND, OR 97703
Peer Specialist
550 NW FRANKLIN AVE STE 228
BEND, OR 97703

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 Austin Waller's NPI number?

The NPI number for Austin Waller is 1114716057. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Austin Waller located?

Austin Waller practices at 550 NW Franklin Ave Ste 228, Bend, OR 97703. The listed phone number is (541) 516-6330.

What is Austin Waller's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Austin Waller was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.