Search › Oregon › 175T00000X
Laurel Wallace
NPI 1881337319 · on the registry since 2022 · sole proprietor
Practice
- Address
- 606 Medical Pky
Enterprise, OR 97828 - Phone
- (541) 426-4524
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 171M00000X
- Sex
- Female
- Record last updated
- 2022-08-08
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 Oregon