Joanne M Wallis is a Pediatrics in Portland, Oregon. Joanne M Wallis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Joanne M Wallis is 1932370756. The last update date is 2018-03-17.
Joanne M Wallis's current location address is 426 Sw Stark St Fl 9, Portland, Oregon. You can contact this provider via phone number 5039885958 and fax number 5039884093. The mailing address for Joanne M Wallis is 426 Sw Stark St Fl 9, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanne M Wallis |
|---|---|
| Address | 426 Sw Stark St Fl 9, Portland, Oregon |
| Phone Number | 5039885958 |
| Fax Number | 5039884093 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1932370756 |
|---|---|
| Provider Enumeration Date | 2008-03-19 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 426 Sw Stark St Fl 9 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972042347 |
| Phone Number | 5039885958 |
| Fax Number | 5039884093 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 091000332N2- |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22959 | OR | -- | |
| 22959 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Joanne M Wallis by the Centers for Medicare & Medicaid Services?
The Joanne M Wallis has been issued the NPI (National Provider Identifier) 1932370756. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Joanne M Wallis is located?
The Joanne M Wallis is situated at the following address: 426 Sw Stark St Fl 9, Portland, OR, 972042347.
What is Joanne M Wallis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joanne M Wallis is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932370756 to Joanne M Wallis?
The Centers for Medicare & Medicaid Services originally issued the 1932370756 to Joanne M Wallis on 2008-03-19.
As of what date were the details pertaining to Joanne M Wallis last refreshed?
The information related to the Joanne M Wallis, including its address, specialty, and other relevant details, was last updated on 2018-03-17.