AISHA WALLACE
NPI 1467580266
Counselor - Mental Health in Portland, OR

Active since March 01, 2007
521 SW 11TH AVE, PORTLAND, OR 97205(503) 224-6008 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aisha Wallace NPPES

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

AISHA WALLACE (NPI 1467580266) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1467580266
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAISHA WALLACE
Location Address521 SW 11TH AVEPortland, OR 97205-2634
Mailing Address4425 Ne Ainsworth StPortland, OR 97218-1319
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1467580266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
521 SW 11TH AVE, Portland, OR 97205

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.

Acupuncturist
521 SW 11TH AVE, SUITE 306
PORTLAND, OR 97205
Massage Therapist
521 SW 11TH AVE, SUITE 305
PORTLAND, OR 97205
Counselor (Mental Health)
521 SW 11TH AVE
PORTLAND, OR 97205
Psychiatry & Neurology (Sleep Medicine)
521 SW 11TH AVE
PORTLAND, OR 97205
Social Worker (Clinical)
521 SW 11TH AVE
PORTLAND, OR 97205
Adult Companion
521 SW 11TH AVE
PORTLAND, OR 97205
Social Worker (Clinical)
521 SW 11TH AVE
PORTLAND, OR 97205
Acupuncturist
521 SW 11TH AVE, SUITE 306
PORTLAND, OR 97205

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 Aisha Wallace's NPI number?

The NPI number for Aisha Wallace is 1467580266. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Aisha Wallace located?

Aisha Wallace practices at 521 SW 11th Ave, Portland, OR 97205. The listed phone number is (503) 224-6008.

What is Aisha 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 Aisha Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.