OrganizationActive
Wallowa Mountain Medical
NPI 1356388078 · Family Medicine Physician · Joseph, OR
Provider details
- NPI number
- 1356388078
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leslie Pace, Office Manager(541) 432-0197
- License
- MD16299 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 North East Street
Joseph, OR 97846-1038
Phone: (541) 432-7777
Fax: (541) 432-7170
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1038
Joseph, OR 97846-1038
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.