JENNIFER LYN WALLACE

PORTLAND, OR
NPI1730154154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD24427)
Enumeration Date2006-02-20
Last Update Date2008-03-18
Business Address
-- JENNIFER LYN WALLACE MD
1235 SE DIVISION ST SUITE 208
PORTLAND, OR 97202-1099
Phone number: 888-480-1115
Mailing Address
-- JENNIFER LYN WALLACE MD
1235 SE DIVISION ST SUITE 208
PORTLAND, OR 97202-1099
Phone number: 888-480-1115
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