Cynthia Wallace, NP

NURSE PRACTITIONER

1111 Crater Lake Ave

Medford, OR 975046241

(541) 732-6274

**NPI:** 1811393648

**Med School:** OTHER

**Experience:** 11 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

PROVIDENCE HEALTH AND SERVICES OREGON

1111 Crater Lake Ave
Medford, OR 975046241

Phone: (541) 732-6274

**Group ID:** 6305755000 | **Group Size:** 17 members

PROVIDENCE MEDFORD MEDICAL CENTER Type: Hospital
1111 CRATER LAKE AVENUE
Phone: (541) 732-5000
Medicare CCN: 380075 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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