NPI 1104384429

Natalie Erin Wallace, DO

Practitioner Obstetrics & Gynecology Physician Salem, OR

Practice location

Address: 875 Oak St SE, Salem, OR 97301-3975
Phone: (503) 561-5200
Mailing address: 890 Oak St SE, Salem, OR 97301-3905

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence DO225456 (OR)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104384429
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2019
Record last updated: 24 Jul 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.