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CORY ALEXIS WALLACE
NPI 1447740238
Counselor - Mental Health in Tigard, OR

Active since May 16, 2018
8915 SW CENTER ST, TIGARD, OR 97223(503) 726-3690 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2021, May 16, 2018 (2 updates tracked since 2018).

About Cory Alexis Wallace NPPES

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

CORY ALEXIS WALLACE (NPI 1447740238) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since May 2018. She maintains a secondary practice location in Hillsboro.

NPPES Registry Identity

NPI1447740238
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCORY ALEXIS WALLACE
Location Address8915 SW CENTER STTigard, OR 97223-6307
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3690
Phone(503) 726-3690
Sole ProprietorNo
Enumeration DateMay 16, 2018
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1447740238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8915 SW CENTER ST, Tigard, OR 97223
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Secondary Practice Location 1

Location 15801 NE Cornelius Pass RdHillsboro, OR 97124-9370 · Phone (971) 762-1144

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.

MATTHEW HARHAI
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740
BRIANNA UILANI KAALAKEA
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
FLETCHER NASH CRM,THW
Peer Specialist
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (037) 263-6905
MISS SHEILA MIRANDA
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
JOHN PATRICK CATE
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
JULIA ADAMS-OPPERMAN
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
CORBIN GRONVOLD
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740
TASHINA LOUISE HENDON
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740

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 Cory Wallace's NPI number?

The NPI number for Cory Wallace is 1447740238. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Cory Wallace located?

Cory Wallace practices at 8915 SW Center St, Tigard, OR 97223. The listed phone number is (503) 726-3690.

What is Cory 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 Cory Wallace was last updated on March 30, 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.