Marie M Wallace

NPI #1003772047 in Corvallis, Oregon

Provider Information

NPI Number: 1003772047
Entity Type: Individual
Name: Marie M Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 3, 2026
Last Updated: Jan 3, 2026

Practice Location

Address: 4455 NE HIGHWAY 20
City: Corvallis
State: Oregon
ZIP Code: 97330-9695
Phone: (541) 758-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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