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NPI Code Detail

MEDICARE: JALEN WALTON

MEDICARE: JALEN WALTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1396687265
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALEN WALTON
Provider Business Mailing Address
First Line : 1790 W 11TH AVE STE 200
Second Line :
City : EUGENE
State : OR
Zip : 97402-3871
Country : US
Telephone Number : 541-686-2688
Fax Number :
Provider Business Practice Location Address
First Line : 550 RIVER RD
Second Line :
City : EUGENE
State : OR
Zip : 97404-3212
Country : US
Telephone Number : 541-743-2611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ JALEN WALTON ” Practice Location

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