institution
The Wallace Medical Concern
Dental Clinic/Center in Portland, Oregon
NPI 1558033118

The Wallace Medical Concern is a Dental Clinic/Center based in Portland, OR and is specialized in Dental. The Wallace Medical Concern practices in Portland, OR. The NPI Number for The Wallace Medical Concern is 1558033118 and holds a License No. (Oregon).

The current practice location address for The Wallace Medical Concern is 18633 Se Stark St Ste 401, Portland, OR and can be reached out via phone at 503-489-1760.

Location: 18633 Se Stark St Ste 401, Portland, OR, 97233-5468
institution
Provider Profile Details
NPI Number
1558033118
Provider Name
The Wallace Medical Concern
Credential
Provider Entity Type
Organization
Address
18633 Se Stark St Ste 401, Portland, OR, 97233-5468
Phone Number
503-489-1760
Fax Number
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18633 Se Stark St Ste 401
City
State
Zip
97233-5468
Phone Number
503-489-1760
Fax Number
person
Provider Business Mailing Address Details
Address
18633 Se Stark St Ste 401
City
State
Zip
97233-5468
Phone Number
503-489-1760
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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