Individual
MEGHAN ELIZABETH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SE OAK ST, SUITE D, HILLSBORO, OR 97123-4245
(503) 640-3724
Mailing address
730 SE OAK ST, SUITE D, HILLSBORO, OR 97123-4245
(503) 640-3724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201507676N
OR
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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