Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAUREL LYNN WALLACE
Active Sole ProprietorLAUREL LYNN WALLACE is a Peer Specialist healthcare provider located in ENTERPRISE, Oregon. NPI 1881337319 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · ENTERPRISE, OR
Registration Details
- NPI Number
- 1881337319
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2022 (4.1562040653061 yrs)
- Last Updated
- Aug 8, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
606 MEDICAL PKYENTERPRISE, OR, 97828Browse OR providers · Browse ZIP 97828
- Phone
- 5414264524
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Case Manager
Other Peer Specialist Providers in ENTERPRISE, OR
| Name | Credential | NPI |
|---|---|---|
| KARL JUSTIN DOSS | — | 1871216523 |
| AIDAN THOMAS WANDSCHNEIDER | — | 1689389900 |
| ELLA DELANEE BARBER | — | 1881394831 |
| DENNIS ALAN HARVEY | — | 1588357107 |
| JEFF ROBERT KENDALL | — | 1710766894 |
| BROOK ADALE WITTY | — | 1508673260 |
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.