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

Miss. Amanda Kaitlin Wallace, RN

Individual provider Lactation Consultant (Registered Nurse) · NPI 1093632176

Miss. Amanda Kaitlin Wallace, RN is a Lactation Consultant (Registered Nurse) in McMinnville, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1663 NW Edgar St
McMinnville, OR 97128-3044
Phone: (971) 746-9158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence 201500633RN (OR)

Record details

NPI number1093632176
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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