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MR. EVAN JAMES WALLACE
NPI 1073859351
Counselor - Mental Health in Gresham, OR

Active since December 14, 2012
360 SW 6TH ST, GRESHAM, OR 97080(503) 726-3806 Get Directions Write a Review

NPPES record last updated: December 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Evan James Wallace NPPES

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

MR. EVAN JAMES WALLACE (NPI 1073859351) is an individual mental health provider in Gresham, Oregon and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1073859351
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. EVAN JAMES WALLACE
Location Address360 SW 6TH STGresham, OR 97080-9475
Mailing Address8915 Sw Center St.Tigard, OR 97223 · (503) 726-3740 · Fax (503) 726-3741
Phone(503) 726-3806
Sole ProprietorNo
Enumeration DateDecember 14, 2012
✔ NPI 1073859351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
360 SW 6TH ST, Gresham, OR 97080
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Other Providers at the Same Location NPPES 11

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

LUKE-DORF, INC.
Community Based Residential Treatment Facility, Mental Illness
360 SW 6TH ST
GRESHAM, OR 97080
Multnomah County (503) 726-3806
MARILYN K OLIVER
Counselor
360 SW 6TH ST
GRESHAM, OR 97080
Multnomah County (503) 726-3806
LOVEMORE HAKUNA
Counselor
360 SW 6TH ST
GRESHAM, OR 97080
Multnomah County (503) 726-3826
FRANK ALVAREZ
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080
Multnomah County (503) 726-3806
VIVIAN MICHELE KRIEGER
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080
Multnomah County (503) 725-3806
AMBER LEWIS
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080
Multnomah County (503) 726-3826
TINA WEBB
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080
Multnomah County (503) 726-3806
PATRICK HALLAHAN QMHA
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080
Multnomah County (503) 726-3806

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 Evan Wallace's NPI number?

The NPI number for Evan Wallace is 1073859351. It was assigned to this individual provider in the NPPES registry on December 14, 2012.

Where is Evan Wallace located?

Evan Wallace practices at 360 SW 6th St, Gresham, OR 97080. The listed phone number is (503) 726-3806.

What is Evan Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Evan Wallace was last updated on December 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.