Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDAN WALLACE
ActiveBRENDAN WALLACE is a Child & Adolescent Psychiatric Nurse healthcare provider located in TUALATIN, Oregon. NPI 1982430344 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · TUALATIN, OR
Registration Details
- NPI Number
- 1982430344
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2024 (1.9677017435618 yrs)
- Last Updated
- Sep 12, 2024
- Licenses
-
228251 (AK)202000644RN (OR)
Practice Information
- Address
-
9345 SW SKOKOMISH LNTUALATIN, OR, 970627316Browse OR providers · Browse ZIP 97062
- Phone
- 9719792149
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
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.