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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUZANNE RENEE WALLACE
NPI 1518864800
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since October 21, 2026
6828 SE HOLGATE BLVD, PORTLAND, OR 97206(503) 795-3987(503) 908-3998 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Suzanne Renee Wallace NPPES

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

SUZANNE RENEE WALLACE (NPI 1518864800) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-26-6998) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1518864800
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUZANNE RENEE WALLACE
Location Address6828 SE HOLGATE BLVDPortland, OR 97206-3504
Mailing Address6828 Se Holgate BlvdPortland, OR 97206-3504 · (503) 795-3987 · Fax (503) 908-3998
Phone(503) 795-3987
Fax(503) 908-3998
Sole ProprietorNo
Enumeration DateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1518864800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · T-26-6998
6828 SE HOLGATE BLVD, Portland, OR 97206
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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.

ALANA FLYNN CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
KATHLEEN MICHELE CHIRGWIN CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
SUMMIT RECOVERY CENTER
Substance Abuse Rehabilitation Facility
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 841-1127
BRIAN WALKER
Counselor (Addiction (Substance Use Disorder))
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (971) 803-8290
GARRETT AUSTIN SMITH CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 805-7268
DANIEL ORTMAN
Counselor (Addiction (Substance Use Disorder))
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 593-8404
TRACY BENJAMIN NELSON CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
SABRINA MARIE SWANK CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987

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 Suzanne Wallace's NPI number?

The NPI number for Suzanne Wallace is 1518864800. It was assigned to this individual provider in the NPPES registry on October 21, 2026.

Where is Suzanne Wallace located?

Suzanne Wallace practices at 6828 SE Holgate Blvd, Portland, OR 97206. The listed phone number is (503) 795-3987.

What is Suzanne Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Suzanne Wallace was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.