WALLACE ANESTHESIA SERVICES PC – Certified Registered Nurse Anesthetist, NPI 1528000874

WALLACE ANESTHESIA SERVICES PC is a healthcare provider. based in Portland, Oregon. specializing in Certified Registered Nurse Anesthetist. The NPI Number for WALLACE ANESTHESIA SERVICES PC is 1528000874

Main info

Organization
Name
WALLACE ANESTHESIA SERVICES PC
NPI
1528000874
Phone
(503) 372-2740
Address
PO BOX 4008
Authorized Official
GERALD ADRIAN WALLACE PRESIDENT CRNA
Enumeration Date
12 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
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for WALLACE ANESTHESIA SERVICES PC

  • 4008, Southeast Willamette Drive, Glen Echo, Portland, Metro, Clackamas County, Oregon, 97267, United States

    PORTLAND, OR 972084008

    Phone: (503) 372-2740

    Fax: (503) 372-2754

    Type: Mailing

  • Saint Charles Medical Center Redmond, 1253, Northwest Canal Boulevard, Redmond, Deschutes County, Oregon, 97756, United States

    REDMOND, OR 977561334

    Phone: (541) 584-8131

    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

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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)

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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 97208)

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Reviews

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Frequently asked questions

What unique ID ties claims to WALLACE ANESTHESIA SERVICES PC?
NPI 1528000874 is assigned to WALLACE ANESTHESIA SERVICES PC under the national enumeration system.
Is WALLACE ANESTHESIA SERVICES PC active in the national directory?
WALLACE ANESTHESIA SERVICES PC's public NPI profile is in an active state.
Can you summarize WALLACE ANESTHESIA SERVICES PC's specialty in plain language?
Clinically, the directory lists WALLACE ANESTHESIA SERVICES PC with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for WALLACE ANESTHESIA SERVICES PC?
We surface Portland, Oregon for WALLACE ANESTHESIA SERVICES PC based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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