Jessica M Wallace is a Portland, Oregon based nurse anesthetist with 5 years of experience as Anesthesia Administration. She completed she graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jessica M Wallace is 202203218CRNA-PP for Anesthesia Administration in Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland. Patients can reach her at 503-494-7641 or can fax her at 503-494-4661. Jessica M Wallace is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1710507371. Jessica M Wallace is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jessica M Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2020
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3181 Sw Sam Jackson Park Rd, Portland, Oregon, 97239-3011
Phone:
503-494-7641
Fax:
503-494-4661
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9335565654
Enrollment ID:
I20200818001247
NPI Number:
1710507371
NPI Enumeration Date:
23 Apr, 2020
NPI Last Update On:
17 Oct, 2022
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jessica M Wallace are as mentioned below.
License Number
Specialization
State
Status
202203218CRNA-PP
Anesthesia Administration
Oregon
Primary
AP61087180
Anesthesia Administration
Washington
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Providence Regional Medical Center Everett (500014)
Everett, WA
Acute Care Hospital
Carson Tahoe Regional Medical Center (290019)
Carson city, NV
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jessica M Wallace has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Providence Wa Anesthesia Services, Pc (9335298884)