The Wallace Medical Concern
NPI #1215390109 in Gresham, Oregon
Provider Information
- NPI Number
- 1215390109
- Entity Type
- Organization
- Organization Name
- The Wallace Medical Concern
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 30, 2016
- Last Updated
- Mar 30, 2016
Practice Location
Authorized Official
- Name
- WILLIAM ROLLER
- Title
- OPERATIONS DIRECTOR
- Phone
- (503) 489-1760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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