Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA M WALLACE, CRNA
ActiveJESSICA M WALLACE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PORTLAND, Oregon. NPI 1710507371 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · PORTLAND, OR
Registration Details
- NPI Number
- 1710507371
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2020 (6.3287459141231 yrs)
- Last Updated
- Oct 17, 2022
- Licenses
-
AP61087180 (WA)202203218CRNA-PP (OR)
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDPORTLAND, OR, 972393011Browse OR providers · Browse ZIP 97239
- Phone
- 5034947641
- Fax
- 5034944661
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN I VANGORDER | CRNA | 1487653796 |
| MR. CHARLES MALCOLM MCDANNALD III | CRNA | 1518951367 |
| KENDALL L. SNOW | CRNA | 1659357036 |
| MS. JAMIE D ST MARK | CRNA | 1356327464 |
| MR. WILLIAM C. WHITACRE | CRNA | 1588635635 |
| MR. GABRIEL L ARON | CRNA | 1699746305 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.