ETHAN WALLACE
NPI 1225531791
Counselor - Mental Health in Hillsboro, OR

Active since March 12, 2018
222 SE 8TH AVE STE 212, HILLSBORO, OR 97123(503) 352-7333 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2021, Aug 26, 2019, Mar 12, 2018 (3 updates tracked since 2018).

About Ethan Wallace NPPES

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

ETHAN WALLACE (NPI 1225531791) is an individual mental health provider in Hillsboro, Oregon and active in the NPI registry since March 2018. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1225531791
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameETHAN WALLACE
Location Address222 SE 8TH AVE STE 212Hillsboro, OR 97123-4218
Mailing Address222 Se 8th Ave Ste 212Hillsboro, OR 97123-4218
Sole ProprietorNo
Enumeration DateMarch 12, 2018
Last NPPES UpdateJuly 23, 20213 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
NPI 1225531791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
222 SE 8TH AVE STE 212, Hillsboro, OR 97123

Secondary Practice Location 1

Location 11411 SW Morrison St Ste 310Portland, OR 97205-1945 · Phone (503) 352-2400

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.

Counselor (Mental Health)
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123
Counselor (Mental Health)
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123
Counselor (Mental Health)
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123
Psychologist (Clinical Child & Adolescent)
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123
Counselor (Mental Health)
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123
Counselor (Mental Health)
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123
Counselor (Mental Health)
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123
Counselor (Mental Health)
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123

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 Ethan Wallace's NPI number?

The NPI number for Ethan Wallace is 1225531791. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Where is Ethan Wallace located?

Ethan Wallace practices at 222 SE 8th Ave Ste 212, Hillsboro, OR 97123. The listed phone number is (503) 352-7333.

What is Ethan 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 Ethan Wallace was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.