Provider Profile

Jessica M. Wallace, CRNA

Unclaimed Profile

About Jessica Wallace

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Education & Training

School Other Graduated: 2020

Specialty

Certified Registered Nurse Anesthetist (Primary)
Certified Registered Nurse Anesthetist (Additional)

Credentials & Licensing

OR license202203218CRNA-PP
WA licenseAP61087180
NPI1710507371
NPI issued04/23/2020

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jessica M. Wallace?

Jessica M. Wallace is a certified registered nurse anesthetist in Portland, OR. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Jessica M. Wallace's address?

Jessica M. Wallace is listed at 3181 Sw Sam Jackson Park Rd, Portland, OR 97239. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jessica M. Wallace?

The number on file is (503) 494-7641. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Jessica M. Wallace?

Jessica M. Wallace's National Provider Identifier is 1710507371. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jessica M. Wallace train?

Jessica M. Wallace attended Other, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jessica M. Wallace have?

Jessica M. Wallace has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

Is Jessica M. Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jessica M. Wallace. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.