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

Marie M Wallace

Individual provider Counselor · NPI 1003772047

Marie M Wallace is a Counselor in Corvallis, Oregon. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4455 NE Highway 20
Corvallis, OR 97330-9695
Phone: (541) 758-5900
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1003772047
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2026
Last updated in NPPESJanuary 3, 2026
Certification dateJanuary 3, 2026
Mailing address3415 Se Powell Blvd, Portland, OR 97202-3371

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