Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA L WALLACE, MD
ActiveTERESA L WALLACE, MD is a Family Medicine healthcare provider located in RENTON, Washington. NPI 1871509646 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RENTON, WA
Registration Details
- NPI Number
- 1871509646
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2006 (20.062885240441 yrs)
- Last Updated
- Sep 17, 2012
- License
-
MD00025633 (WA)
Practice Information
- Address
-
3915 TALBOT RD SSTE 401RENTON, WA, 980555738Browse WA providers · Browse ZIP 98055
- Phone
- 4256564224
- Fax
- 4056565096
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in RENTON, WA
| Name | Credential | NPI |
|---|---|---|
| SONJA MADDOX | MD | 1295732113 |
| AILEEN HIDALGO MONPONBANUA | MD | 1639162456 |
| DR. CAROLYN ELIZ ALBRITTON - MCDONALD | MD | 1750371399 |
| DR. CLAIRE SCHWEIKER HANSON | DO | 1487636312 |
| MARCIA C, JORDAN | M.D. | 1558331454 |
| REZA ROY BERJIS | MD | 1285607606 |
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.