WALLACE
NPI 1215390091
Clinic/Center - Primary Care in Portland, OR
About Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLACE (NPI 1215390091) is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Stuart Currie, Cmo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D0690059
Wallace Medical Concern · Portland, ORFrequently 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 The Wallace Medical Concern's NPI number?
The NPI number for The Wallace Medical Concern is 1215390091. It was assigned to this organization in the NPPES registry on March 30, 2016. The provider is doing business as Wallace.
Where is The Wallace Medical Concern located?
The Wallace Medical Concern is located at 18139 NE Couch Street, Portland, OR 97230. The listed phone number is (503) 489-1760.
What is The Wallace Medical Concern's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does The Wallace Medical Concern hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D0690059) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does The Wallace Medical Concern accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list The Wallace Medical Concern as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for The Wallace Medical Concern was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Wallace · NPI 1215390091
Primary Care organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since March 30, 2016.
## Identity
- **NPI:** 1215390091 (Entity type: Organization)
- **Enumerated:** March 30, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** The Wallace Medical Concern
- **Organization subpart:** No
- **Authorized official:** Stuart Currie, CMO
## Practice location
- **Address:** 18139 NE COUCH STREET, Portland, OR 97230
- **Phone:** (503) 489-1760
## Record status
- **NPPES last updated:** February 24, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215390091) · Data from the CMS NPPES public registry.