Individual provider · Type 1 NPI

Priscilla Jane Wallace, MD

Diagnostic Radiology Physician · Portland, OR

NPI number 1932210069 Active

Practice location

233 NE 102nd Ave
Portland, OR 97220

Call (503) 535-8325 Map

Fax (503) 535-8399

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD175728 (OR)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1932210069

Priscilla Jane Wallace, MD's National Provider Identifier is 1932210069, issued on Aug 31, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2015.