Kristin L Wallis
MD | Pediatrics | Female
Kristin L Wallis, MD is a Tualatin, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kristin L Wallis is
19260 Sw 65th Ave, Ste 340, Tualatin, Oregon - 97062-5701. She can be contacted on phone at
503-691-9777 and fax number 503-692-6736.
Kristin L Wallis is a sole proprietor of her business.
NPI number (Unique professional ID) for Kristin L Wallis is
1972593978 which was assigned by NPPES on 21 Oct, 2005 and it was last updated on 08 Jul, 2007.
Kristin L Wallis license number is
MD18648 for Pediatrics (208000000X) in Oregon.
Kristin L Wallis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kristin L Wallis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Kristin L Wallis |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Kristin L Wallis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 19260 Sw 65th Ave, Ste 340
Tualatin, OR, 97062-5701
United States |
|---|
| Phone Number : | 503-691-9777 |
|---|
| Fax Number : | 503-692-6736 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972593978 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 21 Oct, 2005 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristin L Wallis are as mentioned. Primary taxonomy code for Kristin L Wallis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD18648 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Kristin L Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 061247 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 19260 Sw 65th Ave, Ste 340
Tualatin, OR, 97062-5701
United States |
|---|
| Phone Number : | 503-691-9777 |
|---|
| Fax Number : | 503-692-6736 |
|---|
Business Location:
Patients can refer following map for directions to
Kristin L Wallis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.