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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jordan Myungdo Walle

Public Health Dentistry in Klamath Falls, OR · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780330282

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Registry record

Entity type Individual (Type 1)
Name Jordan Myungdo Walle
Sex Male
Practice address Klamath Falls, OR, 97601
Phone (541) 851-8110
Enumeration date Feb 23, 2022
Last updated in NPPES Jul 30, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
1223D0001X Public Health Dentistry Dental Providers · License D11718 (OR) Primary

Other identifiers

Identifier Type State Issuer
500822026 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jordan Walle?
The National Provider Identifier (NPI) for Jordan Walle is 1780330282, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jordan Walle practice?
The practice location on file with NPPES is in Klamath Falls, OR. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-30.