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ADAM WALLACE EMT
NPI 1093536559
Emergency Medical Technician, Basic in Eugene, OR

Active since October 17, 2024
341 E 12TH AVE, EUGENE, OR 97401(541) 345-6457 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam Wallace Emt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM WALLACE EMT (NPI 1093536559) is an individual emergency medical technician, basic provider in Eugene, Oregon, licensed in Oregon (206430) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1093536559
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameADAM WALLACECredential: EMT
Location Address341 E 12TH AVEEugene, OR 97401-3212
Mailing Address341 E 12th AveEugene, OR 97401-3275
Phone(541) 345-6457
Sole ProprietorNo
Enumeration DateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1093536559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in OR · 206430
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
341 E 12TH AVE, Eugene, OR 97401
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID ZEISS
Counselor (Mental Health)
341 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8255
TAYLER A BRUDER CSWA, QMHP, CADC
Social Worker (Clinical)
341 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 683-1641
EBONY CAPRICE MORGAN RN
Counselor
341 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8255
BIANCA GLORIA MARINO MSW
Counselor (Mental Health)
341 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8255
LAWRENCE STENTZEL IV MSW
Counselor
341 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8255
FERNANDA MEDICI
Counselor
341 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 687-4000
RIAN THISTLE PYGIN
Counselor (Mental Health)
341 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 214-4358
JEAN ANNETTE REYES CRM, PSS II
Peer Specialist
341 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Wallace's NPI number?

The NPI number for Adam Wallace is 1093536559. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Where is Adam Wallace located?

Adam Wallace practices at 341 E 12th Ave, Eugene, OR 97401. The listed phone number is (541) 345-6457.

What is Adam Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Adam Wallace was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.