WALLOWA MOUNTAIN MEDICAL – Family Medicine Physician, NPI 1356388078

WALLOWA MOUNTAIN MEDICAL is a healthcare provider. based in Joseph, Oregon. specializing in Family Medicine Physician. The organization holds a License No. MD16299 (OR). The NPI Number for WALLOWA MOUNTAIN MEDICAL is 1356388078

Main info

Organization
Name
WALLOWA MOUNTAIN MEDICAL
NPI
1356388078
Phone
(541) 432-7777
Address
PO BOX 1038
Authorized Official
LESLIE D. PACE OFFICE MANAGER
Enumeration Date
1 June 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for WALLOWA MOUNTAIN MEDICAL

  • St Joseph's Primary School, 89-103, Nolan Street, Kerang, Victoria, 3579, Australia

    100 N. EAST STREET

    JOSEPH, OR 978461038

    Phone: (541) 432-7777

    Fax: (541) 432-7170

    Type: Mailing

  • 100, North East Street, Joseph, Wallowa County, Oregon, 97846, United States

    JOSEPH, OR 978461038

    Phone: (541) 432-7777

    Fax: (541) 432-7170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97846)

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Reviews

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Frequently asked questions

What NPI should I save for WALLOWA MOUNTAIN MEDICAL?
Save NPI 1356388078 if you need a stable reference for WALLOWA MOUNTAIN MEDICAL.
Is WALLOWA MOUNTAIN MEDICAL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does WALLOWA MOUNTAIN MEDICAL treat or focus on?
Patients typically see WALLOWA MOUNTAIN MEDICAL under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place WALLOWA MOUNTAIN MEDICAL?
The snapshot lists Joseph, Oregon for WALLOWA MOUNTAIN MEDICAL; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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