Jonathan Wesley Wallace, MD
Jonathan Wesley Wallace, MD is registered under Family Practice in Boise, Idaho. Graduated from Oregon Health Sciences University School of Medicine in 2023, 3 years ago. Works from 2 locations. Licensed in Idaho and Washington.
- Years since qualifying
- 3
- Trained at
- Oregon Health Sciences University School of Medicine
- Licensed in
- ID, WA
- In the registry since
- 2023
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Boise, IDNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 — (360) 514-7556
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 2581214 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence ML61440736 (WA) |
Record details
| NPI number | 1487342119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 1, 2023 |
| Last updated in NPPES | September 2, 2026 |
| Certification date | September 2, 2026 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
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