The Wallace Medical Concern
The Wallace Medical Concern is a Family Nurse Practitioner in Gresham, Oregon. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
254 NW Burnside RdGresham, OR 97030 Not confirmed with CMS for 10 years — call before visiting
Phone: (503) 489-1760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1215390109 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Roller — Operations Director · (503) 489-1760 |
| NPI enumerated | March 30, 2016 |
| Last updated in NPPES | March 30, 2016 |
| Mailing address | 254 Nw Burnside Road, Gresham, OR 97030 |
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