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

Dr. Priscilla Jane Wallace, MD

Individual provider Diagnostic Radiology Physician · NPI 1932210069

Dr. Priscilla Jane Wallace, MD is a Diagnostic Radiology in Portland, Oregon. Graduated from University of Texas Medical Branch at Galveston in 1988, 38 years ago. Practices with Epic Imaging PC, a 6-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
38
Trained at
University of Texas Medical Branch at Galveston
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

233 NE 102nd Ave
Portland, OR 97220
Phone: (503) 535-8325
Fax: (503) 535-8399
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD175728 (OR)

Record details

NPI number1932210069
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 26, 2015
Mailing address233 Ne 102nd Ave, Portland, OR 97220-4106

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1988 (38 years in practice)
Group practice Epic Imaging Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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