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SHAI JOANN LOVE WALLACE
NPI 1043092521
Technician - Personal Care Attendant in Portland, OR

Active since October 18, 2023
945 NE 165TH AVE, PORTLAND, OR 97230(503) 408-8100 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shai Joann Love Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAI JOANN LOVE WALLACE (NPI 1043092521) is an individual personal care attendant in Portland, Oregon and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1043092521
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSHAI JOANN LOVE WALLACE
Location Address945 NE 165TH AVEPortland, OR 97230-6148
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 408-8100
Sole ProprietorNo
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1043092521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
945 NE 165TH AVE, Portland, OR 97230
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYDNEY LEWIS
Case Manager/Care Coordinator
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
MR. GREGORY DUANE GOSS
Case Manager/Care Coordinator
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
MADYSEN VERBOUT
Technician (Personal Care Attendant)
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
JOEL PETER MEYER
Technician (Personal Care Attendant)
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
CASCADIA BEHAVIORAL HEALTHCARE
Community Based Residential Treatment Facility, Mental Illness
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
BRIANA LANAE SHEPHERD
Adult Companion
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
JAMES MICHAEL ANDERSON
Case Manager/Care Coordinator
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100
FOSIYO AWEYS ALI
Technician (Personal Care Attendant)
945 NE 165TH AVE
PORTLAND, OR 97230
Multnomah County (503) 408-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shai Wallace's NPI number?

The NPI number for Shai Wallace is 1043092521. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Shai Wallace located?

Shai Wallace practices at 945 NE 165th Ave, Portland, OR 97230. The listed phone number is (503) 408-8100.

What is Shai Wallace's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Shai Wallace was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.