Individual
CAITLIN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9735 SW SHADY LN STE 203B, TIGARD, OR 97223-5481
(503) 212-4504
Mailing address
11635 SW SETTLER WAY, BEAVERTON, OR 97008-7926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
66081
OR
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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