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Gerald A. Wallace, CRNA

Registered Nurse · Redmond, OR

UnclaimedCRNANPI 1265478416
Primary taxonomy
163W00000X
Enumerated
2006-06-22
Practice location
Redmond, OR
Last NPPES update
2025-09-11

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.