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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PRISCILLA JANE WALLACE, MD

Active

DR. PRISCILLA JANE WALLACE, MD is a Diagnostic Radiology healthcare provider located in PORTLAND, Oregon. NPI 1932210069 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · PORTLAND, OR

Registration Details

NPI Number
1932210069
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2006 (19.996144380422 yrs)
Last Updated
Aug 26, 2015
License
MD175728 (OR)

Practice Information

Address
233 NE 102ND AVE
PORTLAND, OR, 97220
Browse OR providers · Browse ZIP 97220
Phone
5035358325
Fax
5035358399
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in PORTLAND, OR

Name Credential NPI
KENNETH R CURTIN M.D. 1568466548
DR. ELENA KARP KORNGOLD MD 1497737670
JOZSEF LUKACS MD 1164406989
DAVID P CIAVERELLA DO 1689659047
RUSSEL DONNAN SMITH MD 1962488585
JAMES CHUNG-MING TSAI MD 1164409868
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.