Brendan Wallace
Brendan Wallace is a Psychiatric/Mental Health Registered Nurse in Tualatin, Oregon. Licensed in Alaska and Oregon. Registered with an NPI since 2024.
- Licensed in
- AK, OR
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
9345 SW Skokomish LnTualatin, OR 97062-7316
Phone: (971) 979-2149
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0808X · Licence 202000644RN (OR) |
|---|---|
| Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0808X · Licence 228251 (AK) |
Record details
| NPI number | 1982430344 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 12, 2024 |
| Last updated in NPPES | September 12, 2024 |
| Certification date | September 12, 2024 |
| Mailing address | 9345 Sw Skokomish Ln, Tualatin, OR 97062-7316 |