MR. WESLEY W WALLIS (NPI# 1326321563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326321563 |
| Entity Type | Individual |
| Full Name | MR. WESLEY W WALLIS |
| Credential | DC |
| Practice Address |
13430 Sw Saratoga Ln Beaverton OR 97008-7602 |
| Practice Telephone | 5032500914 |
| Mailing Telephone | 5032500914 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | N/A | OR | Chiropractic Providers |
| Street Address |
13430 SW SARATOGA LN |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113635 | Adam Hernandez | Chiropractor | 10208 Sw Conestoga Dr Apt 41, Beaverton, OR 97008-8416 | 2020-10-31 |
| 1053918193 | Evan Chin | Chiropractor | 3615 Sw Hall Blvd, Beaverton, OR 97005-2053 | 2020-10-01 |
| 1265904403 | Chirofit LLC | Chiropractor | 10700 Sw Beaverton Hillsdale Hwy Ste 211, Beaverton, OR 97005-3035 | 2018-12-28 |
| 1306312939 | Good Life Chiropractic LLC | Chiropractor | 1800 Nw 169th Pl Ste A310, Beaverton, OR 97006-7527 | 2018-10-22 |
| 1245716471 | Cassandra Hoy | Chiropractor | 10445 Sw Canyon Rd Ste 101, Beaverton, OR 97005-1938 | 2018-07-11 |
| 1831686427 | True Wellness Beaverton, LLC | Chiropractor | 6149 Sw Murray Blvd, Beaverton, OR 97008-4421 | 2018-04-18 |
| 1285144170 | Martin Petrovic | Chiropractor | 10700 Sw Beaverton Hillsdale Hwy Ste 622, Beaverton, OR 97005-3037 | 2017-10-04 |
| 1760930069 | Nathan D Cashion | Chiropractor | 15150 Sw Mallard Dr Unit 202, Beaverton, OR 97007-9368 | 2016-09-14 |
| 1679027098 | Paula Rivera | Chiropractor | 8196 Sw Hall Blvd Ste 106, Beaverton, OR 97008-4676 | 2016-08-15 |
| 1447601612 | Natural Balance Chiropractic Clinic, Inc. | Chiropractor | 7345 Sw 162nd Pl, Beaverton, OR 97007-6382 | 2016-06-28 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.