person
Catherine D Wallace, RN
General Practice Registered Nurse in White City, Oregon
NPI 1093451122

Catherine D Wallace is a General Practice Registered Nurse based in Medford, OR and is specialized in General Practice. Catherine D Wallace practices in White City, OR and has the professional credentials of RN. The NPI Number for Catherine D Wallace is 1093451122 and holds a License No. 202005542RN (Oregon).

The current practice location address for Catherine D Wallace is 8495 Crater Lake Hwy, White City, OR and can be reached out via phone at 541-826-2111.

Location: 8495 Crater Lake Hwy, White City, OR, 97501-1233
person
Provider Profile Details
NPI Number
1093451122
Provider Name
Catherine D Wallace
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
8495 Crater Lake Hwy, White City, OR, 97501-1233
Phone Number
541-826-2111
Fax Number
Provider Enumeration Date
05/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8495 Crater Lake Hwy
City
State
Zip
97503-3011
Phone Number
541-826-2111
Fax Number
person
Provider Business Mailing Address Details
Address
8495 Crater Lake Hwy
City
State
Zip
97503-3011
Phone Number
541-826-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
202005542RN (Oregon)
Definition
Definition to come...
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