Healthcare Provider Details

I. General information

NPI: 1780599332
Provider Name (Legal Business Name): CHELCEE WALLS CARE MANAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 WASHBURN WAY
KLAMATH FALLS OR
97603-4525
US

IV. Provider business mailing address

2421 WASHBURN WAY STE K
KLAMATH FALLS OR
97603-4531
US

V. Phone/Fax

Practice location:
  • Phone: 541-887-7522
  • Fax:
Mailing address:
  • Phone: 541-887-7522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: