Search › Oregon › 101YM0800X
Evan Wallace
NPI 1073859351 · on the registry since 2012
Practice
- Address
- 360 Sw 6th St
Gresham, OR 97080 - Phone
- (503) 726-3806
- Organisation at this address
- Lukedorf
Luke-Dorf, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2012-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon