IndividualActive
Adam Wallace, EMT
NPI 1093536559 · Basic Emergency Medical Technician · Eugene, OR
Provider details
- NPI number
- 1093536559
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- EMT
- Sex
- Male
- Sole proprietor
- No
- License
- 206430 (OR)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
341 E 12th Ave
Eugene, OR 97401-3212
Phone: (541) 345-6457
Approximate (ZIP-level) locationGet directions
Mailing address
341 E 12th Ave
Eugene, OR 97401-3275
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.