Brendan Wallace

NPI #1982430344 in Tualatin, Oregon

Provider Information

NPI Number
1982430344
Entity Type
Individual
Name
Brendan Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Psychiatric/Mental Health
Enumeration Date
Sep 12, 2024
Last Updated
Sep 12, 2024

Practice Location

Address
9345 SW SKOKOMISH LN
State
Oregon
ZIP Code
97062-7316
Phone
(971) 979-2149

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Psychiatric/Mental HealthPsychiatric/Mental Health

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