1841592110 THE WALLACE MEDICAL CONCERN

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
THE WALLACE MEDICAL CONCERN
Enumeration Date
November 18, 2010
Last Update
February 24, 2022
Authorized Official
MS. LISA A. CLINE
CHIEF EXECUTIVE OFFICER
Phone: (503) 489-1760

Practice Location

Address
18633 SE STARK ST STE 401
PORTLAND, OR 972335468
Phone
(503) 489-1760
Fax
(503) 489-1763

Mailing Address

Address
18633 SE STARK ST STE 401
PORTLAND, OR 972335468
Phone
(503) 489-1760
Fax
(503) 489-1763

Specialties & Taxonomies

Specialty Code Classification License State Primary
Dentist
122300000X Dentist N/A N/A No
Dental Hygienist
124Q00000X Dental Hygienist N/A N/A No
Family Medicine Physician
207Q00000X Family Medicine N/A N/A No
Community Health Clinic/Center
Community Health
261QC1500X Clinic/Center N/A N/A No
Dental Clinic/Center
Dental
261QD0000X Clinic/Center N/A N/A No
Family Nurse Practitioner
Family
363LF0000X Nurse Practitioner N/A N/A No
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health
363LP0808X Nurse Practitioner N/A N/A No
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)
261QF0400X Clinic/Center N/A N/A Primary

Frequently Asked Questions

What is THE WALLACE MEDICAL CONCERN's NPI number?
THE WALLACE MEDICAL CONCERN's NPI number is 1841592110.
Which doctor has NPI number 1841592110?
The doctor with NPI number 1841592110 is THE WALLACE MEDICAL CONCERN.
What is THE WALLACE MEDICAL CONCERN's practice address?
THE WALLACE MEDICAL CONCERN's practice address is 18633 SE STARK ST STE 401, PORTLAND, OR, 972335468.
Which doctor practices at 18633 SE STARK ST STE 401, PORTLAND, OR, 972335468?
THE WALLACE MEDICAL CONCERN practices at 18633 SE STARK ST STE 401, PORTLAND, OR, 972335468.
What is THE WALLACE MEDICAL CONCERN's phone number?
THE WALLACE MEDICAL CONCERN's phone number is (503) 489-1760.
Who is (503) 489-1760?
(503) 489-1760 is the phone number for THE WALLACE MEDICAL CONCERN.
What is THE WALLACE MEDICAL CONCERN's specialty?
THE WALLACE MEDICAL CONCERN's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is THE WALLACE MEDICAL CONCERN?
THE WALLACE MEDICAL CONCERN is a Federally Qualified Health Center (FQHC).
Is THE WALLACE MEDICAL CONCERN a Federally Qualified Health Center (FQHC)?
Yes, THE WALLACE MEDICAL CONCERN is a Federally Qualified Health Center (FQHC).
Is THE WALLACE MEDICAL CONCERN still practicing?
Yes, THE WALLACE MEDICAL CONCERN is currently practicing.
Is THE WALLACE MEDICAL CONCERN accepting new patients?
THE WALLACE MEDICAL CONCERN may be accepting new patients. Please call their office at (503) 489-1760 to inquire about availability.
Is NPI 1841592110 still active?
Yes, NPI 1841592110 is currently active.
Where does THE WALLACE MEDICAL CONCERN practice?
THE WALLACE MEDICAL CONCERN practices in PORTLAND, OR.