DR. MARILYN J WALLER-NIEWOLD D.P.M.
NPI 1568465177
Podiatrist - Foot & Ankle Surgery in Warm Springs, OR

Q: What is Marilyn Waller-niewold's NPI number?

The NPI number for Marilyn Waller-niewold is 1568465177. It was assigned to this individual provider in the NPPES registry on May 27, 2005. The provider is also known as Dr. Marilyn J Waller D.P.M..

Q: What is Marilyn Waller-niewold's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since May 27, 2005

1270 KOT-NUM ROAD, BOX 1209, WARM SPRINGS, OR 98861(541) 553-1196(541) 553-2613 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Marilyn J Waller-niewold D.p.m. NPPES

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

DR. MARILYN J WALLER-NIEWOLD D.P.M. (NPI 1568465177) is an individual foot & ankle surgery provider in Warm Springs, Oregon, licensed in Oregon (DP00352) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1568465177

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. MARILYN J WALLER-NIEWOLDCredential: D.P.M.

Location Address1270 KOT-NUM ROAD, BOX 1209Warm Springs, OR 98861

Mailing Address1270 Kot-num Road, Box 1209Warm Springs, OR 98861 · (541) 553-1196 · Fax (541) 553-2613

Phone(541) 553-1196

Fax(541) 553-2613

Sole ProprietorNo

Enumeration DateMay 27, 2005

Last NPPES UpdateJune 14, 2011

✔ NPI 1568465177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in OR · DP00352✔ Licensed in CA · E3808

1270 KOT-NUM ROAD, BOX 1209, Warm Springs, OR 98861

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Other Names 1

Professional Name (2)Dr. Marilyn J Waller D.p.m.

Other Identifiers 4

Medicaid0407825CA

Medicare UPINU42642

Medicaid273855OR

Medicare PIN8HE619OR

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 Marilyn Waller-niewold's NPI number?

The NPI number for Marilyn Waller-niewold is 1568465177. It was assigned to this individual provider in the NPPES registry on May 27, 2005. The provider is also known as Dr. Marilyn J Waller D.P.M..

Where is Marilyn Waller-niewold located?

Marilyn Waller-niewold practices at 1270 Kot-Num Road, Box 1209, Warm Springs, OR 98861. The listed phone number is (541) 553-1196.

What is Marilyn Waller-niewold's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Marilyn Waller-niewold was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.