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

Mrs. Juliana Elizabeth Wallace, MSWACSW, CADCIII

Individual provider Mental Health Counselor · NPI 1568658680

Mrs. Juliana Elizabeth Wallace, MSWACSW, CADCIII is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
4

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 545-9110
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L4458 (OR)
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Social Worker Taxonomy 104100000X · Licence L4458 (OR)

Record details

NPI number1568658680
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWACSW , CADCIII
Sole proprietorNo
NPI enumeratedSeptember 21, 2007
Last updated in NPPESMarch 10, 2016

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