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1932210069
PRISCILLA JANE WALLACE
PORTLAND, OR
NPI
1932210069
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Former Name
PRISCILLA W ALEXANDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OR MD175728)
Enumeration Date
2006-08-31
Last Update Date
2015-08-26
Business Address
Dr. PRISCILLA JANE WALLACE MD
233 NE 102ND AVE
PORTLAND, OR 97220
Phone number: 503-535-8325
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Mailing Address
Dr. PRISCILLA JANE WALLACE MD
233 NE 102ND AVE
PORTLAND, OR 97220-4106
Phone number:
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