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

Mandi Danielle Wallace

Individual provider Mental Health Counselor · NPI 1992367916

Mandi Danielle Wallace is a Mental Health Counselor in Portland, Oregon. Works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

32 NE 11th Ave
Portland, OR 97232-3001
Phone: (503) 542-7635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8915 Sw Center St, Tigard, OR 97223-6307
  • 8915 Sw Center St, Tigard, OR 97223-6307

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1992367916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2019
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

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