| Catherine D Wallace, RN | |
|
8495 Crater Lake Hwy, White City, OR 97503-3011 | |
| (541) 826-2111 | |
| Not Available |
| Full Name | Catherine D Wallace |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - General Practice |
| Location | 8495 Crater Lake Hwy, White City, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093451122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 202005542RN (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine D Wallace, RN 403 Mace Rd, Medford, OR 97501-1233 Ph: (541) 292-4552 | Catherine D Wallace, RN 8495 Crater Lake Hwy, White City, OR 97503-3011 Ph: (541) 826-2111 |
Adrian Anthony Garibay, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Kandice Draayer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Lyn Wayne Sheperd, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Mr. James Logan Phillippe, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Quirispina Stoebig, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 Fax: 541-830-3526 | |
Jaimie Terra Good, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 315-220-0057 |