Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Wallace Medical Concern

Organization Dentist · NPI 1215390091

The Wallace Medical Concern is a Dentist in Portland, Oregon. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3

Practice location Address checks out

18139 NE Couch St
Portland, OR 97230
Phone: (503) 489-1760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Dentist Taxonomy 122300000X
Dental Hygienist Taxonomy 124Q00000X

Record details

NPI number1215390091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stuart Currie — Cmo · (503) 489-1760
Other names Wallace; Wallace
NPI enumeratedMarch 30, 2016
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address18139 Ne Couch Street, Portland, OR 97230

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