Individual provider · Type 1 NPI

Teresa L. Wallace, MD

Family Medicine Physician · Renton, WA

NPI number 1871509646 Active

Practice location

3915 Talbot Rd S, Ste 401
Renton, WA 98055-5738

Call (425) 656-4224 Map

Fax (405) 656-5096

Mailing address

3600 Lind Ave SW, Ste 100
Renton, WA 98057-4934

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD00025633 (WA)

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 1871509646

Teresa L. Wallace, MD's National Provider Identifier is 1871509646, issued on Jul 31, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Renton, WA. The record was last updated on Sep 17, 2012.