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Jennifer Lyn Wallace, MD
Family Medicine Physician in Portland, Oregon
NPI 1730154154

Jennifer Lyn Wallace is a Family Medicine Physician based in Portland, OR. Jennifer Lyn Wallace practices in Portland, OR and has the professional credentials of MD. The NPI Number for Jennifer Lyn Wallace is 1730154154 and holds a License No. MD24427 (Oregon).

The current practice location address for Jennifer Lyn Wallace is 1235 Se Division St, Portland, OR and can be reached out via phone at 888-480-1115.

Location: 1235 Se Division St, Portland, OR, 97202-1099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730154154
Provider Name
Jennifer Lyn Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1235 Se Division St, Portland, OR, 97202-1099
Phone Number
888-480-1115
Fax Number
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
232919 05 OR
institution
Provider Business Practice Location Address Details
Address
1235 Se Division St
City
Portland
State
Oregon
Zip
97202-1099
Phone Number
888-480-1115
Fax Number
person
Provider Business Mailing Address Details
Address
1235 Se Division St
City
Portland
State
Oregon
Zip
97202-1099
Phone Number
888-480-1115
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD24427 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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