THE WALLACE MEDICAL CONCERN

GRESHAM, OR
NPI1215390109
Entity TypeOrganization
Authorized ContactWILLIAM ROLLER
Operations Director
503-489-1760
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2016-03-30
Last Update Date2016-03-30
Business Address
THE WALLACE MEDICAL CONCERN
254 NW BURNSIDE ROAD
GRESHAM, OR 97030
Phone number: 503-489-1760
Mailing Address
THE WALLACE MEDICAL CONCERN
254 NW BURNSIDE ROAD
GRESHAM, OR 97030
Phone number:
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