NPI 1093536559

Adam Wallace, EMT

Practitioner Basic Emergency Medical Technician Eugene, OR

Practice location

Address: 341 E 12th Ave, Eugene, OR 97401-3212
Phone: (541) 345-6457
Mailing address: 341 E 12th Ave, Eugene, OR 97401-3275

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 206430 (OR)

Other Emergency Medical Technician, Basic providers in Oregon →

Registry record

NPI: 1093536559
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2024
Record last updated: 17 Oct 2024

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.