ADAM WALLACE

EUGENE, OR
NPI1093536559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: OR  206430)
Enumeration Date2024-10-17
Last Update Date2024-10-17
Business Address
ADAM WALLACE EMT
341 E 12TH AVE
EUGENE, OR 97401-3212
Phone number: 541-345-6457
Mailing Address
ADAM WALLACE EMT
341 E 12TH AVE
EUGENE, OR 97401-3275
Phone number: