Individual provider · Type 1 NPI

Catherine D. Wallace, RN

General Practice Registered Nurse · White City, OR

NPI number 1093451122 Active

Practice location

8495 Crater Lake Hwy
White City, OR 97503-3011

Mailing address

403 Mace Rd
Medford, OR 97501-1233

Other practice locations

  • 403 Mace Rd, Medford, OR 97501-1233 · (541) 292-4552

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X202005542RN (OR)

General Practice Registered Nurse: Definition to come...

247 other providers at this address

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About NPI 1093451122

Catherine D. Wallace, RN's National Provider Identifier is 1093451122, issued on May 11, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in White City, OR. The record was last updated on May 11, 2022.