Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265478416 Individual Practitioner Male Practitioner

Gerald Adrian Wallace , CRNA

Registered Nurse • Redmond, OR

Professional Overview & Biography Verified Profile Summary

Gerald Wallace, CRNA is a registered healthcare professional specializing in Registered Nurse in Redmond, OR. Practice services are available at 1253 NW CANAL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1253 Nw Canal Blvd

Redmond, OR 977561334

Telephone 5415848131
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Redmond, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Redmond, OR (2515 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
029121 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Glynda Crabtree , MD

Emergency Medicine

NPI 1013944081

Doctor of Medicine (M.D.)

Dr. Clayton Garthe , MD

Emergency Medicine

NPI 1023541174

Doctor of Medicine (M.D.)

Dr. Andrew Kleaveland , MD

Emergency Medicine

NPI 1043571342

Doctor of Medicine (M.D.)

Dr. Mindy Lipsitz , MD

Emergency Medicine

NPI 1043606148

Doctor of Medicine (M.D.)

Dr. Angus Ng , MD

Emergency Medicine

NPI 1053355198

Doctor of Medicine (M.D.)

Dr. Jake Waits , DO

Emergency Medicine

NPI 1093982845

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1253 NW CANAL BLVD, REDMOND, OR 977561334 (Tel: 5415848131)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 4008, PORTLAND, OR 972084008 (Tel: 5033722740)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD WALLACE, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Registered Nurse

🟢
Initial NPI Registration & Enumeration June 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Gerald Wallace. Be the first to share your experience!

Sign in to leave a review for Gerald Wallace

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1265478416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

Po Box 4008

Portland, OR 972084008

Phone: 5033722740

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.