Jordan Myungdo Walle is a Klamath Falls, Oregon based Dentist who is specialized in
Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jordan Myungdo Walle is
D11718 for Dental Public Health in Oregon. His current practice location is
2074 S 6th St, Klamath Falls. Patients can reach him at
541-851-8110.
Jordan Myungdo Walle is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jordan Myungdo Walle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jordan Myungdo Walle |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2074 S 6th St, Klamath Falls,
Oregon, 97601-3372 |
| Phone: | 541-851-8110 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1780330282 |
| NPI Enumeration Date: | 23 Feb, 2022 |
| NPI Last Update On: | 30 Jul, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan Myungdo Walle are as mentioned below.
| License Number | Specialization | State | Status | |
| D11718 | Dental Public Health | Oregon | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jordan Myungdo Walle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500822026 | Medicaid | Oregon | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2074 S 6th St,
Klamath Falls, Oregon |
| Zip: | 97601-3372 |
| Phone Number: | 541-851-8110 |
Patients can reach Jordan Myungdo Walle at
2074 S 6th St, Klamath Falls, Oregon or can
call to book an appointment on 541-851-8110.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.