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Gerald Wallace, CRNA
NPI 1265478416 · on the registry since 2006
Federal exclusion record
The HHS Office of Inspector General publishes a list of individuals and entities excluded from Medicare, Medicaid and other federal health programs. A record on that list carries this NPI.
- Reason
- Licence revoked, suspended or surrendered
- Authority
- Section 1128b4 · permissive · until licence restored
- Excluded
- 2015-01-20
- Recorded as
- Nurse/Nurses Aide
Matched on NPI alone. OIG asks that any match be confirmed by Social Security or Employer Identification Number, neither of which appears in the public file, so treat this as something to verify rather than something established. Verify at OIG. Our copy of the list is from 2026-09-15. Reinstated parties are removed from each new release, so a person cleared since then may still appear here.
Practice
- Address
- 1253 Nw Canal Blvd
Redmond, OR 97756 - Phone
- (541) 584-8131
- Organisation at this address
- Cep America - Neurology Pc
Community Pharmacy Redmond
Wallace Anesthesia Services Pc
Cascade Professional Business Service
South Sound Inpatient Physicians PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 77
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 367500000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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