MR. Jim Edward Wallis ATC

  • NPI 1144283128
According to our database, the NPI number for MR. Jim Edward Wallis ATC is 1144283128 and activated since 18 years ago. MR. Jim Edward Wallis ATC is an individual provider who specializes in Athletic Trainer, and the primary practice location is 930 Sw Hall, Portland, OR 97201. You can also contact MR. Jim Edward Wallis ATC via telephone number is (503) 725-4073. Provider NPI information was last updated on 07/08/2007.

Recently Active NPIs

Overview of MR. Jim Edward Wallis ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/10/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: AT-AT-048672
  • License State: OR

Provider Mailing Address

  • Address: 6209 Ne 24th Ave
    Portland, OR 97211
  • Phone: 503-284-8629
  • Fax:

Provider Practice Location

  • Address: 930 Sw Hall
    Portland, OR 97201
  • Phone: 503-725-4073
  • Fax: 503-725-5641

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: AT-AT-0486
  • License State: OR
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jim Edward Wallis ATC?
  • A: The npi number for MR. Jim Edward Wallis ATC is 1144283128.
  • Q: What are MR. Jim Edward Wallis ATC's specialties?
  • A: MR. Jim Edward Wallis ATC's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for MR. Jim Edward Wallis ATC?
  • A: The medical license number for MR. Jim Edward Wallis ATC is AT-AT-048672 and issued in OR in USA.
  • Q: Where is MR. Jim Edward Wallis ATC practice location?
  • A: MR. Jim Edward Wallis ATC is practicing at 930 Sw Hall, Portland, OR 97201.
  • Q: How to contact MR. Jim Edward Wallis ATC?
  • A: You can contact MR. Jim Edward Wallis ATC via 503-725-4073.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.