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

Gerald Adrian Wallace, CRNA

Individual provider Registered Nurse · NPI 1265478416

Gerald Adrian Wallace, CRNA is a Registered Nurse in Redmond, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone: (541) 584-8131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X (OR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X (OR)

Record details

NPI number1265478416
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 4008, Portland, OR 97208-4008

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