Individual provider · Type 1 NPI
Wesley W. Wallis, DC
Chiropractor · Beaverton, OR
NPI number
1326321563
Active
Practice location
13430 SW Saratoga Ln
Beaverton, OR 97008-7602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | N/A (OR) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1326321563
Wesley W. Wallis, DC's National Provider Identifier is 1326321563, issued on Sep 23, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Beaverton, OR. The record was last updated on Sep 23, 2011.