Catherine D. Wallace, RN

General Practice Registered Nurse · White City, OR

Individual Active NPI

NPI number 1093451122

Practice location

8495 Crater Lake Hwy
White City, OR 97503-3011
Phone
(541) 826-2111

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NPI record

NPI
1093451122
Entity type
Individual (Type 1)
Enumeration date
May 11, 2022
Last updated
May 11, 2022
Certified
May 11, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Registered Nurse Primary 163WG0000X 202005542RN OR

Mailing address

403 Mace Rd
Medford, OR 97501-1233
Phone
(541) 292-4552

Other practice locations (1)

  • 403 Mace Rd, Medford, OR 97501-1233 · (541) 292-4552

About Catherine Wallace

Catherine D. Wallace, RN is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Registered Nurse (code 163WG0000X). The practice location is 8495 Crater Lake Hwy, White City, OR 97503-3011. The NPI number 1093451122 was assigned on May 11, 2022 and the record was last updated on May 11, 2022.

Catherine Wallace lists a license in the registry: #202005542RN (OR) for General Practice Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Catherine D. Wallace, RN?

The NPI number is 1093451122.

What is the phone number of Catherine Wallace?

The phone number listed for the practice location is (541) 826-2111.

Where is Catherine Wallace located?

8495 Crater Lake Hwy, White City, OR 97503-3011.

What is the taxonomy code for Catherine Wallace?

The primary taxonomy code is 163WG0000X – General Practice Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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