THE WALLACE MEDICAL CONCERN NPI 1215390091

NPI Information

  • NPI: 1215390091
  • Provider Name: THE WALLACE MEDICAL CONCERN
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: WALLACE
  • Address: 18139 NE COUCH STREET
    PORTLAND, OR
    ZIP 97230
  • Phone: (503) 489-1760

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NPI Details

THE WALLACE MEDICAL CONCERN is a primary care clinic center in Portland, OR. THE WALLACE MEDICAL CONCERN NPI is 1215390091. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wallace.

The provider's business location address is:

18139 NE COUCH STREET
PORTLAND, OR
ZIP 97230
Phone: (503) 489-1760

The provider's authorized official is Stuart Currie .
The authorized official title is Cmo and has the following contact phone number (503) 489-1760.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 2/24/2022.

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
1122300000XDentistNo
2124Q00000XDental HygienistNo
3261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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