Organization · Type 2 NPI

The Wallace Medical Concern

Family Medicine Physician · Gresham, OR

NPI number 1881429918 Active

Practice location

1165 N Main Ave
Gresham, OR 97030-5543

Fax (503) 489-1763

Mailing address

18633 SE Stark St Ste 401
Portland, OR 97233-5468

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Dental Hygienist 124Q00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed

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 1881429918

The Wallace Medical Concern's National Provider Identifier is 1881429918, issued on Sep 6, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Gresham, OR. The record was last updated on Sep 6, 2024.