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Search › Oregon › 363A00000X

Kristina Wallace, PA-C

NPI 1417326984 · on the registry since 2015

Practice

Address
537 Union Ave
Second Floor
Grants Pass, OR 97527
Phone
(541) 479-6777
Organisation at this address
App Ent
App Urology Clinic
App Orthopedic Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-08

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