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GARRETT GENE WALLACE DC NPI 1588325260


NPI Information

NPI: 1588325260
Provider Name: GARRETT GENE WALLACE, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2515 CROSBY AVE
KLAMATH FALLS, OR
ZIP 97603
Phone: (541) 883-2225
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Garrett Gene Wallace, DC is a chiropractor in Klamath Falls, OR with 3 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Garrett Gene Wallace, DC NPI is 1588325260. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduation Year:2021

The provider's business location address is:

2515 CROSBY AVE
KLAMATH FALLS, OR
ZIP 97603-553
Phone: (541) 883-2225
Fax: (541) 882-9388

The enumeration date for this NPI number is 1/5/2022 and was last updated on 9/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH13851FLORIDANo
2111N00000XChiropractorPENDINGOREGONNo
3111N00000XChiropractor6236OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.