NPI 1093451122
Catherine D Wallace, RN
Practice location
- Address
- 8495 Crater Lake Hwy, White City, OR 97503-3011
- Phone
- (541) 826-2111
- Mailing address
- 403 Mace Rd, Medford, OR 97501-1233
Registered specialties
General Practice Registered Nurse
Primary
Registry record
- NPI
- 1093451122
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 May 2022
- Record last updated
- 11 May 2022
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.