person
Benjamin P Wallace, PA
Surgical Physician Assistant in Corvallis, Oregon
NPI 1992936066

Benjamin P Wallace is a Surgical Physician Assistant based in Corvallis, OR and is specialized in Surgical. Benjamin P Wallace practices in Corvallis, OR and has the professional credentials of PA. The NPI Number for Benjamin P Wallace is 1992936066 and holds a License No. (Oregon).

The current practice location address for Benjamin P Wallace is 3600 Nw Samaritan Drive, Corvallis, OR and can be reached out via phone at 541-768-5223 and via fax at 541-768-5014. You can also correspond with Benjamin P Wallace through the mailing address at 3600 NW SAMARITAN DRIVE, CORVALLIS, OR - 97330-3737 (mailing address contact number: 541-768-5223).

Location: 3600 Nw Samaritan Drive, Corvallis, OR, 97330-3737
person
Provider Profile Details
NPI Number
1992936066
Provider Name
Benjamin P Wallace
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3600 Nw Samaritan Drive, Corvallis, OR, 97330-3737
Phone Number
541-768-5223
Fax Number
541-768-5014
Provider Enumeration Date
08/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3600 Nw Samaritan Drive
City
State
Zip
97330-3737
Phone Number
541-768-5223
Fax Number
541-768-5014
person
Provider Business Mailing Address Details
Address
3600 Nw Samaritan Drive
City
State
Zip
97330-3737
Phone Number
541-768-5223
Fax Number
541-768-5014
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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