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

Wallace Jackson Champlain, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1689648636

Wallace Jackson Champlain, DO is an Obstetrics & Gynecology Physician in Tahlequah, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1500 E Downing St Ste 208
Tahlequah, OK 74464-3234
Phone: (918) 456-2496
Fax: (918) 456-7108
Show map & directions

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

Additional practice locations (1)

  • 127 E Main, Hulbert, OK 74441 — (918) 772-3390

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 1994 (OK)

Record details

NPI number1689648636
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESJune 4, 2019
Mailing address1500 E Downing Suite 208, Tahlequah, OK 74464-3363

Other providers in Tahlequah