Gerald Adrian Wallace, CRNA

NPI #1265478416 in Redmond, Oregon

Provider Information

NPI Number
1265478416
Entity Type
Individual
Name
Gerald Adrian Wallace, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
CRNA
Enumeration Date
Jun 22, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1253 NW CANAL BLVD
State
Oregon
ZIP Code
97756-1334
Phone
(541) 584-8131

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Anesthetist, Certified Registered

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