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Chandra Wallace
NPI 1649069964 · on the registry since 2025
Practice
- Address
- 7610 40th St W Ste 300
University Place, WA 98466 - Phone
- (253) 830-6242
- Organisation at this address
- Catholic Community Services Of Western Washington
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 173
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington