BENJAMIN P WALLACE

CORVALLIS, OR
NPI1992936066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2009-08-06
Last Update Date2009-08-06
Business Address
-- BENJAMIN P WALLACE PA
3600 NW SAMARITAN DRIVE SUITE 227
CORVALLIS, OR 97330-3737
Phone number: 541-768-5223
Mailing Address
-- BENJAMIN P WALLACE PA
3600 NW SAMARITAN DRIVE SUITE 227
CORVALLIS, OR 97330-3737
Phone number: 541-768-5223
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