ANDREW NELS WALLACE

PORTLAND, OR
NPI1912361502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: OR  DO219563)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OR  DO219563)
Enumeration Date2016-04-08
Last Update Date2024-10-01
Business Address
Dr. ANDREW NELS WALLACE D.O.
5050 NE HOYT ST STE 540
PORTLAND, OR 97213-2985
Phone number: 503-215-6601
Mailing Address
Dr. ANDREW NELS WALLACE D.O.
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494