The Wallace Medical Concern
The Wallace Medical Concern is a Dental Clinic/Center in Portland, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
18633 SE Stark St Ste 401Portland, OR 97233-5468
Phone: (503) 489-1760
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1558033118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Sirianni — Ea & Federal Grants Program Manager · (503) 489-1760 |
| NPI enumerated | October 1, 2021 |
| Last updated in NPPES | March 23, 2026 |
| Certification date | March 23, 2026 |
| Mailing address | 18633 Se Stark St Ste 401, Portland, OR 97233-5468 |
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