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 SpecialityPrimaryLicense No.State
208000000XPediatricsYesMD18648OR
Legacy Identifiers:
Other legacy medical identifiers of Kristin L Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
061247MEDICAIDOR
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.