Laurel Lynn Wallace
Laurel Lynn Wallace is a Peer Specialist in Enterprise, Oregon. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
606 Medical PkyEnterprise, OR 97828
Phone: (541) 426-4524
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
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1881337319 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 13, 2022 |
| Last updated in NPPES | August 8, 2022 |
| Certification date | August 8, 2022 |
| Mailing address | 405 Nw 2nd St, Enterprise, OR 97828-1014 |
Other providers in Enterprise
-
Bailey Browder
606 Medical Pkwy, Enterprise, OR 97828-5140 · (541) 263-2061
-
Emma Rose Harker
606 Medical Pkwy, Enterprise, OR 97828-5140 · (541) 426-4524
-
Dennis Alan Harvey
606 Medical Pkwy, Enterprise, OR 97828-5140 · (541) 426-4524
-
Jeff Robert Kendall
606 Medical Pkwy, Enterprise, OR 97828-5140 · (541) 426-4524
-
Jason Wilcox
PO Box 268, Enterprise, OR 97828-0268 · (541) 426-4542
-
Brook Adale Witty
606 Medical Pkwy, Enterprise, OR 97828-5140 · (541) 426-4524