Individual
CHRISTIE WALLSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3808 N WILLIAMS AVE, SUITE 135, PORTLAND, OR 97227-1467
(503) 970-2056
(888) 432-4730
Mailing address
3808 N WILLIAMS AVE, SUITE 135, PORTLAND, OR 97227-1467
(503) 970-2056
(888) 432-4730
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M1772
TX
208000000X
Pediatrics Physician
Primary
MD27140
OR
Other
Enumeration date
08/29/2005
Last updated
10/11/2011
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