| Gerald Adrian Wallace, CRNA | |
|
1253 Nw Canal Blvd, Redmond, OR 97756-1334 | |
| (541) 584-8131 | |
| Not Available |
| Full Name | Gerald Adrian Wallace |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 1253 Nw Canal Blvd, Redmond, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265478416 | NPI | - | NPPES |
| 029121 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | (Oregon) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Adrian Wallace, CRNA Po Box 4008, Portland, OR 97208-4008 Ph: (503) 372-2740 | Gerald Adrian Wallace, CRNA 1253 Nw Canal Blvd, Redmond, OR 97756-1334 Ph: (541) 584-8131 |
Alisha Walker, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2202 Sw Newberry Ct, Redmond, OR 97756 Phone: 541-913-7370 | |
Samantha V. Hurd, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Nw Larch Ave, Redmond, OR 97756 Phone: 541-923-4462 Fax: 541-383-1883 | |
Ashley Jane Mull, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1470 Nw 4th St, Redmond, OR 97756 Phone: 541-316-7520 | |
Elizabeth Ann Howells, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1200 Nw Upas Ave, Redmond, OR 97756 Phone: 503-577-8611 | |
Hanna Cook, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1470 Nw 4th St, Redmond, OR 97756 Phone: 541-516-4099 | |
Roza Saitlin Pacifico, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 340 Nw 5th St Ste 101, Redmond, OR 97756 Phone: 541-526-6635 Fax: 541-526-6636 | |
Deborah Willitts, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1335 Sw Obsidian Ave, Redmond, OR 97756 Phone: 541-923-4900 Fax: 541-923-6509 |