Amanda Rochelle Wallace
Amanda Rochelle Wallace is an Addiction (Substance Use Disorder) Counselor in Corvallis, Oregon. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
885 NW Grant AveCorvallis, OR 97330-4578
Phone: (541) 752-2703
Fax: (541) 368-7690
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1245030659 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 14, 2025 |
| Last updated in NPPES | March 14, 2025 |
| Certification date | March 14, 2025 |
| Mailing address | 885 Nw Grant Ave, Corvallis, OR 97330-4578 |
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