Individual provider · Type 1 NPI
Cynthia Wallace, AGPCNP
Gerontology Nurse Practitioner · Medford, OR
NPI number
1811393648
Active
Practice location
1111 Crater Lake Ave
Medford, OR 97504-6241
Fax (541) 732-5251
Mailing address
PO Box 3308
Portland, OR 97208-3308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 201500016NP-PP (OR) |
Gerontology Nurse Practitioner: Definition to come...
97 other providers at this address
- Cornelia M Byers MD PCPhysical Medicine & Rehabilitation Physician Medford, OR NPI 1588845945
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- Providence Health & Services - OregonHospitalist Physician Medford, OR NPI 1154675411
- Providence Health & Services - OregonClinical Pathology Physician Medford, OR NPI 1285185942
- Providence Health & Services - OregonRehabilitation Hospital Unit Medford, OR NPI 1508949884
- Providence Health & Services - OregonCommunity/Retail Pharmacy Medford, OR NPI 1518142074
- Providence Health & Services - OregonGeneral Acute Care Hospital Medford, OR NPI 1689755670
- Providence Hospitalists & IntensivistsCritical Care Medicine (Internal Medicine) Physician Medford, OR NPI 1063462232
- Alan McClung Jones, MDFamily Medicine Physician Medford, OR NPI 1881612885
- Alexandra Marie Alvarez, ATCAthletic Trainer Medford, OR NPI 1568652857
- Alicia G. Bond, MDHospice and Palliative Medicine (Emergency Medicine) Physician Medford, OR NPI 1457646887
- Amanda K. Fischer, AGACNPGerontology Nurse Practitioner Medford, OR NPI 1346854759
Other gerontology nurse practitioner providers in Medford
- Amanda K. Fischer, AGACNPGerontology Nurse Practitioner Medford, OR NPI 1346854759
- Landa Rhoda CoxGerontology Nurse Practitioner Medford, OR NPI 1427181767
- Lindsey Gavioli Fox, FNP-BC, AGACNP-BCGerontology Nurse Practitioner Medford, OR NPI 1629588504
- Nancy Obispo, NPGerontology Nurse Practitioner Medford, OR NPI 1871983353
About NPI 1811393648
Cynthia Wallace, AGPCNP's National Provider Identifier is 1811393648, issued on Nov 5, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Medford, OR. The record was last updated on Sep 30, 2020.