Mrs. Cynthia Wallace, AGPCNP
Mrs. Cynthia Wallace, AGPCNP is a Nurse Practitioner in Medford, Oregon. Qualified in 2014, 12 years ago. Practices with Providence Health and Services Oregon, an 18-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 12
- Licensed in
- OR
- In the registry since
- 2014
Practice location Address checks out
1111 Crater Lake AveMedford, OR 97504-6241
Phone: (541) 732-5250
Fax: (541) 732-5251
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
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 201500016NP-PP (OR) |
|---|
Record details
| NPI number | 1811393648 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGPCNP |
| Sole proprietor | No |
| NPI enumerated | November 5, 2014 |
| Last updated in NPPES | September 30, 2020 |
| Certification date | September 30, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Providence Health And Services Oregon — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Medford
-
Amanda K Fischer, AGACNP
1111 Crater Lake Ave, Medford, OR 97504-6241 · (541) 732-5545
-
Autumn Dawn Mercer, FNP
825 Bennett Ave, Medford, OR 97504-6715 · (541) 779-5228
-
Nancy Obispo, NP
555 Black Oak Dr Ste 300, Medford, OR 97504-8491 · (541) 789-8100
-
Greg D Smith, APNP
555 Black Oak Dr, Medford, OR 97504 · (541) 789-8176
-
Well Spring Health LLC
835 Crater Lake Ave, Medford, OR 97504-6505 · (888) 719-3491