KRISTIN L WALLIS (MD) – Pediatrics Physician, NPI 1972593978

KRISTIN L WALLIS (MD) is a healthcare provider. based in Tualatin, Oregon. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. MD18648 (OR). The NPI Number for KRISTIN L WALLIS (MD) is 1972593978

Main info

Female
Name
KRISTIN L WALLIS (MD)
NPI
1972593978
Phone
(503) 691-9777
Address
19260 SW 65TH AVE
Enumeration Date
21 October 2005
Last Update Date
8 July 2007
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 KRISTIN L WALLIS (MD)

  • Southwest 65th Avenue, Tualatin, Metro, Washington County, Oregon, 97062, United States

    STE 340

    TUALATIN, OR 970625701

    Phone: (503) 691-9777

    Fax: (503) 692-6736

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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 97062)

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Reviews

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Frequently asked questions

What unique ID ties claims to KRISTIN L WALLIS (MD)?
NPI 1972593978 is assigned to KRISTIN L WALLIS (MD) under the national enumeration system.
Is KRISTIN L WALLIS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KRISTIN L WALLIS (MD) treat or focus on?
Patients typically see KRISTIN L WALLIS (MD) under the specialty Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Does KRISTIN L WALLIS (MD) practice in Oregon?
You will see Tualatin, Oregon on file for KRISTIN L WALLIS (MD) alongside any extra practice locations.
Is KRISTIN L WALLIS (MD) a real provider?
This page reflects official NPPES data for NPI 1972593978. Always confirm identity and privileges with the practice and licensing boards.

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