Gerald Adrian Wallace in Redmond - Registered Nurse
Gerald Adrian Wallace - NPI 1265478416
Gerald Adrian Wallace is a Registered Nurse in Redmond, Oregon. Gerald Adrian Wallace practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Gerald Adrian Wallace is 1265478416. The last update date is 2007-07-08.
Gerald Adrian Wallace's current location address is 1253 Nw Canal Blvd, Redmond, Oregon. You can contact this provider via phone number 5415848131. The mailing address for Gerald Adrian Wallace is 1253 Nw Canal Blvd, Redmond, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gerald Adrian Wallace |
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Address | 1253 Nw Canal Blvd, Redmond, Oregon |
Phone Number | 5415848131 |
Fax Number | |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1265478416 |
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Provider Enumeration Date | 2006-06-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1253 Nw Canal Blvd |
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City | Redmond |
State | Oregon (OR) |
Post Code | 977561334 |
Phone Number | 5415848131 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Registered Nurse |
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Taxonomy | 163W00000X |
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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29121 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gerald Adrian Wallace?
The Gerald Adrian Wallace has been issued the NPI (National Provider Identifier) 1265478416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Gerald Adrian Wallace's physical address?
The Gerald Adrian Wallace is physically located at 1253 Nw Canal Blvd, in the city of Redmond, OR, with the postal code 977561334.
What is Gerald Adrian Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gerald Adrian Wallace is Registered Nurse, and the taxonomy code that classifies this field of practice is 163W00000X.
On what date did Gerald Adrian Wallace receive its 1265478416 assignment from the Centers for Medicare & Medicaid Services?
The Gerald Adrian Wallace was assigned its 1265478416 on 2006-06-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gerald Adrian Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gerald Adrian Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.