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Search › Washington › 246RP1900X

Jennifer Wallace

NPI 1356968440 · on the registry since 2020 · sole proprietor

Practice

Address
3409 Mcdougall Ave Ste 200
Everett, WA 98201
Phone
(480) 685-7530
Fax
(480) 900-8853

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Also registered as
251E00000X
291U00000X
246RP1900X
261Q00000X
374U00000X
261QH0100X
374U00000X
247200000X
291U00000X
251J00000X
172A00000X
156F00000X
Licence states on file
AZ, WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-14

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 Washington