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

The Wallace Medical Concern

Organization Social Worker · NPI 1881429918

The Wallace Medical Concern is a Social Worker in Gresham, Oregon. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

1165 N Main Ave
Gresham, OR 97030-5543
Phone: (503) 489-1760
Fax: (503) 489-1763
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Social Worker Taxonomy 104100000X
Dental Hygienist Taxonomy 124Q00000X

Record details

NPI number1881429918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Cline — Ceo · (503) 489-1760
Other names Wallace
NPI enumeratedSeptember 6, 2024
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address18633 Se Stark St Ste 401, Portland, OR 97233-5468

Other providers in Gresham