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

Teresa L Wallace, MD

Individual provider Family Medicine Physician · NPI 1871509646

Teresa L Wallace, MD is a Family Practice in Renton, Washington. Graduated from New York Medical College in 1986, 40 years ago. Practices with Valley Medical Group-Renton, a 422-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
40
Trained at
New York Medical College
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3915 Talbot Rd S Ste 401
Renton, WA 98055-5738
Phone: (425) 656-4224
Fax: (405) 656-5096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00025633 (WA)

Record details

NPI number1871509646
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESSeptember 17, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1986 (40 years in practice)
Group practice Valley Medical Group-Renton — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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