JOANNE M WALLIS

VANCOUVER, WA
NPI1932370756
Other NameJODI M WALLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: WA  AP30006123)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR  091000332N2-PNP-PP)
Enumeration Date2008-03-19
Last Update Date2018-03-17
Business Address
JOANNE M WALLIS PNP
19005 SE 34TH ST
VANCOUVER, WA 98683-1450
Phone number: 360-726-6724
Mailing Address
JOANNE M WALLIS PNP
426 SW STARK ST FL 9
PORTLAND, OR 97204-2347
Phone number: 503-988-5958