SHAI JOANN LOVE WALLACE NPI 1043092521

NPI Information

  • NPI: 1043092521
  • Provider Name: SHAI JOANN LOVE WALLACE
  • Classification: Technician - 3747P1801X
  • Specialization: Personal Care Attendant
  • Entity Type: Individual
  • Address: 945 NE 165TH AVE
    PORTLAND, OR
    ZIP 97230
  • Phone: (503) 408-8100

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NPI Details

Shai Joann Love Wallace is a personal care attendant technician in Portland, OR. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards Shai Joann Love Wallace NPI is 1043092521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

945 NE 165TH AVE
PORTLAND, OR
ZIP 97230-148
Phone: (503) 408-8100

The enumeration date for this NPI number is 10/18/2023 and was last updated on 10/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13747P1801XTechnicianPersonal Care AttendantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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