MADISON WALLACE
NPI 1417503657
Behavior Technician in Portland, OR
About Madison Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON WALLACE (NPI 1417503657) is an individual behavior technician in Portland, Oregon and active in the NPI registry since August 2019.
NPPES Registry Identity
Specialties & Licenses
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 Madison Wallace's NPI number?
The NPI number for Madison Wallace is 1417503657. It was assigned to this individual provider in the NPPES registry on August 13, 2019.
Where is Madison Wallace located?
Madison Wallace practices at 1025 SE 11th Ave Apt 302, Portland, OR 97214. The listed phone number is (503) 686-1786.
What is Madison Wallace's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Madison Wallace was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.