Priscilla Jane Wallace in Portland - Diagnostic Radiology
Priscilla Jane Wallace - NPI 1932210069
Priscilla Jane Wallace is a Diagnostic Radiology in Portland, Oregon. Priscilla Jane Wallace practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Priscilla Jane Wallace is 1932210069. The last update date is 2015-08-26.
Priscilla Jane Wallace's current location address is 233 Ne 102nd Ave, Portland, Oregon. You can contact this provider via phone number 5035358325 and fax number 5035358399. The mailing address for Priscilla Jane Wallace is 233 Ne 102nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Priscilla Jane Wallace |
|---|---|
| Address | 233 Ne 102nd Ave, Portland, Oregon |
| Phone Number | 5035358325 |
| Fax Number | 5035358399 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932210069 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2015-08-26 |
Provider Mailing Address Detail
| Address | 233 Ne 102nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97220 |
| Phone Number | 5035358325 |
| Fax Number | 5035358399 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MD175728 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the Priscilla Jane Wallace's unique identification number?
The Priscilla Jane Wallace has been assigned the NPI (National Provider Identifier) Number 1932210069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Priscilla Jane Wallace's facilities are geographically located?
The facilities of Priscilla Jane Wallace are physically situated at the following location: 233 Ne 102Nd Ave, Portland, OR, 97220.
What is the Priscilla Jane Wallace's specialty and taxonomy code?
The Priscilla Jane Wallace's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did Priscilla Jane Wallace receive its 1932210069 assignment from the Centers for Medicare & Medicaid Services?
The Priscilla Jane Wallace was assigned its 1932210069 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Priscilla Jane Wallace's information last updated?
The Priscilla Jane Wallace's information was last updated on 2015-08-26.
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