Dr. Philip C Wallace, MD
Dr. Philip C Wallace, MD is a Sports Medicine in Bend, Oregon. Graduated from Meharry Medical College School of Medicine in 2005, 21 years ago. Practices with Central Oregon Spine and Sports LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon and Texas.
- Years since qualifying
- 21
- Trained at
- Meharry Medical College School of Medicine
- Licensed in
- OR, TX
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2115 NE Wyatt CT 101Bend, OR 97701-6324
Phone: (541) 323-6280
Fax: (541) 323-6288
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence MD152056 (OR) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence P1432 (TX) |
Record details
| NPI number | 1629258322 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 9, 2007 |
| Last updated in NPPES | May 10, 2017 |
| Mailing address | 2115 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7678 |
Medicare enrollment
| Medicare specialty | SPORTS MEDICINE |
|---|---|
| Medical school | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduated | 2005 (21 years in practice) |
| Group practice | Central Oregon Spine And Sports Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bend
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Larry Edward Paulson, MD
2200 NE Neff Rd Ste 200, Bend, OR 97701-4283 · (541) 382-3344
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Bessie Joy Perkey, MD
1342 NE Medical Center Dr Ste 101, Bend, OR 97701-5918 · (541) 382-3344
-
David C Stewart, MD
2200 NE Neff Rd Ste 200, Bend, OR 97701-4281 · (541) 382-3344
-
Mr. Marc Anthony Wagner, MD
2200 NE Neff Rd Ste 200, Bend, OR 97701-4283 · (541) 382-3344
-
Dr. Katherine Wyrick, DO
2500 NE Neff Rd, Bend, OR 97701-6015 · (541) 706-7725