MR. Christopher M B Wallis, PA-C

NPI #1891866513 in Lebanon, Oregon

Provider Information

NPI Number
1891866513
Entity Type
Individual
Name
MR. Christopher M B Wallis, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Nov 13, 2006
Last Updated
Nov 4, 2020

Practice Location

Address
191 N MAIN ST
State
Oregon
ZIP Code
97355-2870
Phone
(541) 451-7940

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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