Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallowa Mountain Medical

Organization Family Medicine Physician · NPI 1356388078

Wallowa Mountain Medical is a Family Medicine Physician in Joseph, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

100 N East St
Joseph, OR 97846-1038
Phone: (541) 432-7777
Fax: (541) 432-7170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD16299 (OR)

Record details

NPI number1356388078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Pace — Office Manager · (541) 432-0197
NPI enumeratedJune 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1038, 100 N. East Street, Joseph, OR 97846-1038

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