Mike Wallace
NPI #1881413680 in Dallas, Oregon
Provider Information
- NPI Number
- 1881413680
- Entity Type
- Individual
- Name
- Mike Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Oct 8, 2024
- Last Updated
- Oct 8, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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