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WALLOWA MOUNTAIN MEDICAL
NPI 1356388078
Family Medicine in Joseph, OR

Active since June 01, 2006
100 NORTH EAST STREET, JOSEPH, OR 97846(541) 432-7777(541) 432-7170 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wallowa Mountain Medical NPPES

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

WALLOWA MOUNTAIN MEDICAL (NPI 1356388078) is a healthcare organization registered as a family medicine in Joseph, Oregon and active in the NPI registry since June 2006. The organization lists Leslie D. Pace, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356388078
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWALLOWA MOUNTAIN MEDICAL
Location Address100 NORTH EAST STREETJoseph, OR 97846-1038
Mailing AddressPo Box 1038, 100 N. East StreetJoseph, OR 97846-1038 · (541) 432-7777 · Fax (541) 432-7170
Phone(541) 432-7777
Fax(541) 432-7170
Organization SubpartNo
Authorized OfficialLeslie D. PaceOffice Manager · (541) 432-0197
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356388078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD16299
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 NORTH EAST STREET, Joseph, OR 97846
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Other Identifiers 1

Medicaid035670OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wallowa Mountain Medical's NPI number?

The NPI number for Wallowa Mountain Medical is 1356388078. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Wallowa Mountain Medical located?

Wallowa Mountain Medical is located at 100 North East Street, Joseph, OR 97846. The listed phone number is (541) 432-7777.

What is Wallowa Mountain Medical's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wallowa Mountain Medical was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.