Individual
JAMIE J WALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
39000000X
MO
363LF0000X
Family Nurse Practitioner
Primary
AP70160084
WA
363LF0000X
Family Nurse Practitioner
Primary
AP70160084-NP
WA
Other
Enumeration date
06/25/2026
Last updated
07/27/2026
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