Individual provider · Type 1 NPI

Amanda Kaitlin Wallace, RN

Lactation Consultant (Registered Nurse) · Mcminnville, OR

NPI number 1093632176 Active

Practice location

1663 NW Edgar St
Mcminnville, OR 97128-3044

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100X201500633RN (OR)

Lactation Consultant (Registered Nurse): Definition to come...

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About NPI 1093632176

Amanda Kaitlin Wallace, RN's National Provider Identifier is 1093632176, issued on Jun 30, 2026. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Mcminnville, OR. The record was last updated on Jun 30, 2026.