GERALD WALLACE, CRNA
Registered Nurse
Active
Individual
NPI: 1265478416
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | Yes | - |
| Nurse Anesthetist, Certified Registered | 367500000X | No | - |
Frequently Asked Questions
NPI 1265478416 is the National Provider Identifier for GERALD WALLACE, CRNA, a Registered Nurse provider located in Redmond, OR. This NPI was enumerated on June 22, 2006.
GERALD WALLACE, CRNA practices at 1253 NW CANAL BLVD, Redmond, OR 97756.
Quick Facts
- NPI
- 1265478416
- Type
- Individual
- Enumerated
- Jun 22, 2006
- Last Updated
- Sep 11, 2025
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