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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THE WALLACE MEDICAL CONCERN

Active Organization

THE WALLACE MEDICAL CONCERN is a Federally Qualified Health Center organization located in PORTLAND, Oregon. NPI 1841592110 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · PORTLAND, OR

Registration Details

NPI Number
1841592110
Provider Type
Organization
NPI Issued
Nov 18, 2010 (15.717484796138 yrs)
Last Updated
Feb 24, 2022

Practice Information

Address
18633 SE STARK ST STE 401
PORTLAND, OR, 972335468
Browse OR providers · Browse ZIP 97233
Phone
5034891760
Fax
5034891763
Primary Specialty
Federally Qualified Health Center
261QF0400X
Additional Specialty
Dental Hygienist
Additional Specialty
Family Medicine
Additional Specialty
Community Health Center
Additional Specialty
Dental Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.