Individual provider · Type 1 NPI

Jennifer Lyn Wallace, MD

Family Medicine Physician · Portland, OR

NPI number 1730154154 Active

Practice location

1235 SE Division St, Suite 208
Portland, OR 97202-1099

Call (888) 480-1115 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD24427 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1730154154

Jennifer Lyn Wallace, MD's National Provider Identifier is 1730154154, issued on Feb 20, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Mar 18, 2008.