Kimberly Wallace, CADC 1 is an addiction (substance use disorder) counselor in Portland, OR. Kimberly Wallace, CADC 1 NPI is 1942592340. 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:
1427 SE 182ND AVE
PORTLAND, OR
ZIP 97233-008
Phone: (971) 202-7851
Fax: (503) 206-7164
The enumeration date for this NPI number is 5/4/2011 and was last updated on 10/4/2018.