Catherine D Wallace, RN
NPI #1093451122 in White City, Oregon
Provider Information
- NPI Number
- 1093451122
- Entity Type
- Individual
- Name
- Catherine D Wallace, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - General Practice
- Credential
- RN
- Enumeration Date
- May 11, 2022
- Last Updated
- May 11, 2022
Practice Location
- Address
- 8495 CRATER LAKE HWY
- City
- White City
- State
- Oregon
- ZIP Code
- 97503-3011
- Phone
- (541) 826-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
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