Individual provider · Type 1 NPI

Jordan Scott Wallace, MD

Pediatrics Physician · Snoqualmie, WA

NPI number 1780210658 Active

Practice location

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200

Call (425) 831-2300 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XMD61570069 (WA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1780210658

Jordan Scott Wallace, MD's National Provider Identifier is 1780210658, issued on Mar 22, 2020. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Snoqualmie, WA. The record was last updated on Oct 15, 2025.