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KENDALL WALLACE
NPI 1376145672
Counselor in Bend, OR

Active since November 11, 2020
2480 NE TWIN KNOLLS DR, BEND, OR 97701(541) 758-5900 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendall Wallace NPPES

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

KENDALL WALLACE (NPI 1376145672) is an individual counselor in Bend, Oregon and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1376145672
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKENDALL WALLACE
Location Address2480 NE TWIN KNOLLS DRBend, OR 97701-6833
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591
Phone(541) 758-5900
Sole ProprietorNo
Enumeration DateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
✔ NPI 1376145672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2480 NE TWIN KNOLLS DR, Bend, OR 97701
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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.

MICHAEL A SERLETIC
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900
INDIANA RAY WILLIAMS
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900
JENNIFER MUNOZ TOLEDO
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 323-7552
ALEENA L MCCLURE
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900
COLIN NETTLES
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 323-7554
TRILLIUM FAMILY SERVICES, INC.
Community/Behavioral Health
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900
OLIVIA COURTEAU
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900
JANELLE DEWILDE
Counselor (Mental Health)
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900

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 Kendall Wallace's NPI number?

The NPI number for Kendall Wallace is 1376145672. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Kendall Wallace located?

Kendall Wallace practices at 2480 NE Twin Knolls Dr, Bend, OR 97701. The listed phone number is (541) 758-5900.

What is Kendall Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kendall Wallace was last updated on November 11, 2020. 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.