Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN SCOTT WALLACE, MD
ActiveJORDAN SCOTT WALLACE, MD is a Pediatrics healthcare provider located in SNOQUALMIE, Washington. NPI 1780210658 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SNOQUALMIE, WA
Registration Details
- NPI Number
- 1780210658
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2020 (6.428977594208 yrs)
- Last Updated
- Oct 15, 2025
- License
-
MD61570069 (WA)
Practice Information
- Address
-
9801 FRONTIER AVE SESNOQUALMIE, WA, 980655200Browse WA providers · Browse ZIP 98065
- Phone
- 4258312300
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SNOQUALMIE, WA
| Name | Credential | NPI |
|---|---|---|
| HEMA NIRMAL | MD | 1043468028 |
| DR. NEETA JAIN | M.D. | 1659674687 |
| DR. CHINONYELUM BLESSING OBIH | MD | 1174918965 |
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.