Individual
NATALIE ERIN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
875 OAK ST SE, SALEM, OR 97301-3975
(503) 561-5200
Mailing address
890 OAK ST SE, SALEM, OR 97301-3905
(035) 615-2005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO225456
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2019
Last updated
07/24/2025
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