IndividualActive
Catherine Wallace, RN
NPI 1093451122 · General Practice Registered Nurse · White City, OR
Provider details
- NPI number
- 1093451122
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 202005542RN (OR)
Practice location
8495 Crater Lake Hwy
White City, OR 97503-3011
Phone: (541) 826-2111
Mailing address
403 Mace Rd
Medford, OR 97501-1233
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.