Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallowa Mountain Medical

Organization Family Medicine Physician · NPI 1356388078

Wallowa Mountain Medical provides Family Medicine Physician services in Joseph, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

100 N East St
Joseph, OR 97846-1038
Phone: (541) 432-7777
Fax: (541) 432-7170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD16299 (OR)

Record details

NPI number1356388078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Pace — Office Manager · (541) 432-0197
NPI enumeratedJune 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1038, 100 N. East Street, Joseph, OR 97846-1038

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