NPI 1316544075
Jordann Wallis, MSCGC
Practice location
- Address
- 3550 N Interstate Ave, Portland, OR 97227-1196
- Phone
- (971) 221-6946
- Mailing address
- 5840 NE 32nd Ave, Portland, OR 97211-6702
Registered specialties
Genetic Counselor (M.S.)
Primary
Registry record
- NPI
- 1316544075
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Oct 2020
- Record last updated
- 26 Jan 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.