Individual provider · Type 1 NPI

Kristin L. Wallis, MD

Pediatrics Physician · Tualatin, OR

NPI number 1972593978 Active

Practice location

19260 SW 65th Ave, Ste 340
Tualatin, OR 97062-5701

Call (503) 691-9777 Map

Fax (503) 692-6736

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XMD18648 (OR)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1972593978

Kristin L. Wallis, MD's National Provider Identifier is 1972593978, issued on Oct 21, 2005. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Tualatin, OR. The record was last updated on Jul 13, 2026.