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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 202005542RN (OR) |
General Practice Registered Nurse: Definition to come...
247 other providers at this address
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- Veterans AffairsRehabilitation Hospital Unit White City, OR NPI 1942753231
- White City CbocVA Clinic/Center White City, OR NPI 1871537258
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Other general practice registered nurse providers in White City
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.