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

Shai Joann Love Wallace

Individual provider Personal Care Attendant · NPI 1043092521

Shai Joann Love Wallace is a Personal Care Attendant in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

945 NE 165th Ave
Portland, OR 97230-6148
Phone: (503) 408-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1043092521
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing addressPo Box 8459, Portland, OR 97207-8459

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