Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKE WALLACE
Active Sole ProprietorMIKE WALLACE is a Peer Specialist healthcare provider located in DALLAS, Oregon. NPI 1881413680 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · DALLAS, OR
Registration Details
- NPI Number
- 1881413680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2024 (1.8214681807644 yrs)
- Last Updated
- Oct 8, 2024
- License
-
2627 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
945 SE UGLOW AVEDALLAS, OR, 973382642Browse OR providers · Browse ZIP 97338
- Phone
- 5038371762
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in DALLAS, OR
| Name | Credential | NPI |
|---|---|---|
| ALLISON HIGHSMITH | CRM I | 1295146017 |
| JENNIFER PANGBURN | BS | 1477949832 |
| JOHN BLANCHARD | — | 1245608629 |
| SUSAN ELAINE ARTHURS | — | 1659850519 |
| LINNEA BAKER | — | 1013666718 |
| CHRIS ZWEIGLE | — | 1245973130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.