PRISCILLA JANE WALLACE

PORTLAND, OR
NPI1932210069
Former NamePRISCILLA W ALEXANDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: OR  MD175728)
Enumeration Date2006-08-31
Last Update Date2015-08-26
Business Address
Dr. PRISCILLA JANE WALLACE MD
233 NE 102ND AVE
PORTLAND, OR 97220
Phone number: 503-535-8325
Mailing Address
Dr. PRISCILLA JANE WALLACE MD
233 NE 102ND AVE
PORTLAND, OR 97220-4106
Phone number: