Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THE WALLACE MEDICAL CONCERN
NPI 1215390109
Dentist in Portland, OR

Q: What is The Wallace Medical Concern's NPI number?

The NPI number for The Wallace Medical Concern is 1215390109. It was assigned to this organization in the NPPES registry on March 30, 2016.

Q: What is The Wallace Medical Concern's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 30, 2016

18139 NE COUCH ST, PORTLAND, OR 97230(503) 489-1760 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, Mar 30, 2016 (2 updates tracked since 2016).

On this page

About The Wallace Medical Concern NPPES

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

THE WALLACE MEDICAL CONCERN (NPI 1215390109) is a healthcare organization registered as a dentist in Portland, Oregon and active in the NPI registry since March 2016. The organization lists Michelle Sirianni, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1215390109

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameTHE WALLACE MEDICAL CONCERN

Location Address18139 NE COUCH STPortland, OR 97230-7222

Mailing Address18139 Ne Couch StPortland, OR 97230-7222 · (503) 489-1760

Phone(503) 489-1760

Organization SubpartNo

Authorized OfficialMichelle SirianniDirector Of Compliance · (714) 330-3275

Enumeration DateMarch 30, 2016

Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1215390109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

Also ListedDental HygienistTaxonomy 124Q00000X

18139 NE COUCH ST, Portland, OR 97230

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

CECILIA CARDOSO BUSTAMANTE RDH

Dental Hygienist

18139 NE COUCH ST
PORTLAND, OR 97230

Multnomah County (503) 489-1760

MS. FABIANA GARCIA RDH

Preferred Provider Organization

18139 NE COUCH ST
PORTLAND, OR 97230

Multnomah County (503) 489-1760

MISS STEPHANIE JESUS ESPINO RDH

Dental Hygienist

18139 NE COUCH ST
PORTLAND, OR 97230

Multnomah County (503) 489-1760

MS. LEXI M CHIN RDH

Dental Hygienist

18139 NE COUCH ST
PORTLAND, OR 97230

Multnomah County (503) 489-1760

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 The Wallace Medical Concern's NPI number?

The NPI number for The Wallace Medical Concern is 1215390109. It was assigned to this organization in the NPPES registry on March 30, 2016.

Where is The Wallace Medical Concern located?

The Wallace Medical Concern is located at 18139 NE Couch St, 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 Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for The Wallace Medical Concern was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.