Search › Oregon › 163WP0808X
Brendan Wallace
NPI 1982430344 · on the registry since 2024
Practice
- Address
- 9345 Sw Skokomish Ln
Tualatin, OR 97062 - Phone
- (971) 979-2149
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Also registered as
- 163WP0808X
- Licence states on file
- AK, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-12
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