Mandi Danielle Wallace is a student in an organized health care education training program in Portland, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mandi Danielle Wallace NPI is 1992367916. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
32 NE 11TH AVE
PORTLAND, OR
ZIP 97232-001
Phone: (503) 542-7635
The enumeration date for this NPI number is 6/29/2019 and was last updated on 1/8/2024.