Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIN L WALLIS, MD
ActivePediatrics · TUALATIN, OR
Registration Details
- NPI Number
- 1972593978
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2005 (20.56143570528 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD18648 (OR)
Practice Information
- Address
-
19260 SW 65TH AVESTE 340TUALATIN, OR, 970625701Browse OR providers · Browse ZIP 97062
- Phone
- 5036919777
- Fax
- 5036926736
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in TUALATIN, OR
| Name | Credential | NPI |
|---|---|---|
| JULIE A FIENE YEAGER | MD | 1114916137 |
| SARA J CANNON | MD | 1467441477 |
| CAMERON D LUCK | MD | 1730178757 |
| JOHN EDMUND KILTY | MD PHD | 1437149424 |
| DANIEL L GLEASON | MD | 1346230331 |
| AUDREY C UNRAU | MD | 1881683894 |
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.