Mrs. Cynthia Wallace
AGPCNP | Nurse Practitioner - Gerontology | 11+ years Exp
1111 Crater Lake Ave, Medford
Oregon, 97504-6241
541-732-5250
Mrs. Cynthia Wallace is a Medford, Oregon based nurse practitioner with 11 years of experience in Gerontology. She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Cynthia Wallace is 201500016NP-PP for Gerontology in Oregon. Her current practice location is 1111 Crater Lake Ave, Medford. Patients can reach her at 541-732-5250 or can fax her at 541-732-5251. Mrs. Cynthia Wallace is AGPCNP with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1811393648.
Mrs. Cynthia Wallace is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Mrs. Cynthia Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Cynthia Wallace |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | AGPCNP |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1111 Crater Lake Ave, Medford,
Oregon, 97504-6241 |
| Phone: | 541-732-5250 |
| Fax: | 541-732-5251 |
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: | 7911219035 |
| Enrollment ID: | I20150702000790 |
| NPI Number: | 1811393648 |
| NPI Enumeration Date: | 05 Nov, 2014 |
| NPI Last Update On: | 30 Sep, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Cynthia Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 201500016NP-PP | Gerontology | Oregon | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (380075) | Medford, OR | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Cynthia Wallace is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Providence Health And Services Oregon (6305755000) | 19 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Cynthia Wallace
Po Box 3308,
Portland, Oregon |
| Zip: | 97208-3308 |
| Phone Number: | 541-732-5250 |
| Fax Number: | 541-732-5152 |
Patients can reach Mrs. Cynthia Wallace at
1111 Crater Lake Ave, Medford, Oregon or can
call to book an appointment on 541-732-5250.
Comments/ Reviews:
Patients can read all the reviews posted for Mrs. Cynthia Wallace below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mrs. Cynthia Wallace. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.