Jennifer Lyn Wallace MD

  • NPI 1730154154
According to our database, the NPI number for Jennifer Lyn Wallace MD is 1730154154 and activated since 18 years ago. Jennifer Lyn Wallace MD is an individual provider who specializes in Family Medicine, and the primary practice location is 1235 Se Division St, Portland, OR 97202. You can also contact Jennifer Lyn Wallace MD via telephone number is (888) 480-1115. Provider NPI information was last updated on 03/18/2008.

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Overview of Jennifer Lyn Wallace MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/20/2006
  • Last updated: 03/18/2008

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: MD24427
  • License State: OR

Provider Mailing Address

  • Address: 1235 Se Division St
    Suite 208
    Portland, OR 97202
  • Phone: 888-480-1115
  • Fax:

Provider Practice Location

  • Address: 1235 Se Division St
    Suite 208
    Portland, OR 97202
  • Phone: 888-480-1115
  • Fax:

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: MD24427
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 232919
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jennifer Lyn Wallace MD?
  • A: The npi number for Jennifer Lyn Wallace MD is 1730154154.
  • Q: What are Jennifer Lyn Wallace MD's specialties?
  • A: Jennifer Lyn Wallace MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jennifer Lyn Wallace MD?
  • A: The medical license number for Jennifer Lyn Wallace MD is MD24427 and issued in OR in USA.
  • Q: Where is Jennifer Lyn Wallace MD practice location?
  • A: Jennifer Lyn Wallace MD is practicing at 1235 Se Division St, Portland, OR 97202.
  • Q: How to contact Jennifer Lyn Wallace MD?
  • A: You can contact Jennifer Lyn Wallace MD via 888-480-1115.