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ISMOND WATERS
NPI 1306620422
Peer Specialist in Portland, OR

Active since August 21, 2023
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214(503) 231-7480 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ismond Waters NPPES

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

ISMOND WATERS (NPI 1306620422) is an individual peer specialist in Portland, Oregon and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1306620422
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameISMOND WATERS
Location Address605 SE CESAR E CHAVEZ BLVDPortland, OR 97214-3216
Mailing Address605 Se Cesar E Chavez BlvdPortland, OR 97214-3216 · (503) 231-7480
Phone(503) 231-7480
Sole ProprietorNo
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1306620422 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.
605 SE CESAR E CHAVEZ BLVD, Portland, OR 97214
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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.

SEBASTIAN MOLFA
Counselor (Professional)
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Multnomah County (503) 231-7480
ANDREA MARIE MCALLISTER
Counselor (Mental Health)
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Multnomah County (503) 731-9539
ZACHARY WILLIAM SHAFFER
Counselor
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Multnomah County (503) 231-7480
LUCIJA BERGERE
Case Manager/Care Coordinator
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Multnomah County (503) 231-7480
ALISA AVVAKUMOVA
Counselor
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Multnomah County (503) 731-9589
HANNAH ACQUAYE
Counselor (Mental Health)
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Multnomah County (503) 231-7480
WYMAN MACON
Counselor (Addiction (Substance Use Disorder))
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Multnomah County (503) 231-7480
PETER EMEDI MMUNGA
Peer Specialist
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Multnomah County (503) 231-7480

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 Ismond Waters's NPI number?

The NPI number for Ismond Waters is 1306620422. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Ismond Waters located?

Ismond Waters practices at 605 SE Cesar E Chavez Blvd, Portland, OR 97214. The listed phone number is (503) 231-7480.

What is Ismond Waters'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 Ismond Waters was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.