1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Social Worker
  6. NPI Profile

WALLER WHOLISTIC WELLNESS & CONSULTING
NPI 1861338303
Social Worker - Clinical in Portland, OR

Active since April 27, 2026
4110 NE 122ND AVE STE 110, PORTLAND, OR 97230(503) 832-0792 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waller Wholistic Wellness & Consulting NPPES

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

WALLER WHOLISTIC WELLNESS & CONSULTING (NPI 1861338303) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since April 2026. The organization lists Michael Waller, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1861338303
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWALLER WHOLISTIC WELLNESS & CONSULTING
Location Address4110 NE 122ND AVE STE 110Portland, OR 97230-1359
Mailing Address15667 Se Rainier AveClackamas, OR 97015-9423 · (503) 544-7058
Phone(503) 832-0792
Organization SubpartNo
Authorized OfficialMichael WallerSocial Worker · (503) 544-7058
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1861338303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4110 NE 122ND AVE STE 110, Portland, OR 97230
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MICHAEL WALLER
Social Worker (Clinical)
4110 NE 122ND AVE STE 110
PORTLAND, OR 97230
Multnomah County (503) 832-0792

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 Waller Wholistic Wellness & Consulting's NPI number?

The NPI number for Waller Wholistic Wellness & Consulting is 1861338303. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Waller Wholistic Wellness & Consulting located?

Waller Wholistic Wellness & Consulting is located at 4110 NE 122nd Ave Ste 110, Portland, OR 97230. The listed phone number is (503) 832-0792.

What is Waller Wholistic Wellness & Consulting's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Waller Wholistic Wellness & Consulting was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.