Mandi Wallace
NPI 1992367916 · Student in an Organized Health Care Education/Training Program · Portland, OR
Mandi Wallace is a Student in an Organized Health Care Education/Training Program provider in Portland, OR (NPI 1992367916).
Provider details
- NPI number
- 1992367916
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-06-29
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.