NPI 1043064892
Anna Wallace
Practice location
- Address
- 1025 S 3rd St, Renton, WA 98057-2765
- Phone
- (206) 949-1527
- Mailing address
- 31405 41st Ave SW, Federal Way, WA 98023-2115
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1043064892
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Apr 2024
- Record last updated
- 28 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.