Individual
ALEXANDRA WALLENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 MARKET ST, MEDFORD, OR 97504-6126
(541) 494-3840
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202100971RN
OR
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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