IndividualActive
Brendan Wallace
NPI 1982430344 · Psychiatric/Mental Health Registered Nurse · Tualatin, OR
Provider details
- NPI number
- 1982430344
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 228251 (AK)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
9345 Sw Skokomish Ln
Tualatin, OR 97062-7316
Phone: (971) 979-2149
Approximate (ZIP-level) locationGet directions
Mailing address
9345 Sw Skokomish Ln
Tualatin, OR 97062-7316
Registry dates
- Enumerated
- 2024-09-12
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.