Jennifer Lyn Wallace, MD
Jennifer Lyn Wallace, MD is a Family Medicine Physician in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1235 SE Division St Ste 208Portland, OR 97202-1099
Phone: (888) 480-1115
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD24427 (OR) |
|---|
Record details
| NPI number | 1730154154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2006 |
| Last updated in NPPES | March 18, 2008 |
| Mailing address | 1235 Se Division St, Suite 208, Portland, OR 97202-1099 |
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