Individual provider · Type 1 NPI

Melissa S. Wallace, LPN

Licensed Practical Nurse · Eugene, OR

NPI number 1972068278 Active

Practice location

151 W 7th Ave Ste 163
Eugene, OR 97401-2676

Mailing address

2420 Polk St
Eugene, OR 97405-1837

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201393584LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1972068278

Melissa S. Wallace, LPN's National Provider Identifier is 1972068278, issued on Jan 31, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Eugene, OR. The record was last updated on Jan 31, 2019.