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

Jessica M Wallace, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1710507371

Jessica M Wallace, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with Hospitalist Medicine Physicians of Washington - Tcs, a 208-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
6
Licensed in
OR, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7641
Fax: (503) 494-4661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 520-5000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 202203218CRNA-PP (OR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence AP61087180 (WA)

Record details

NPI number1710507371
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 23, 2020
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hospitalist Medicine Physicians Of Washington - Tcs — 208 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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