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THE WALLACE MEDICAL CONCERN
NPI 1558033118
Clinic/Center - Dental in Portland, OR

Active since October 01, 2021
18633 SE STARK ST STE 401, PORTLAND, OR 97233(503) 489-1760 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2026, Feb 24, 2022, Oct 1, 2021 (3 updates tracked since 2021).

About The Wallace Medical Concern NPPES

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

THE WALLACE MEDICAL CONCERN (NPI 1558033118) is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since October 2021. The organization lists Michelle Sirianni, Ea & Federal Grants Program Manager, as its authorized official.

NPPES Registry Identity

NPI1558033118
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTHE WALLACE MEDICAL CONCERN
Location Address18633 SE STARK ST STE 401Portland, OR 97233-5468
Mailing Address18633 Se Stark St Ste 401Portland, OR 97233-5468 · (503) 489-1760
Phone(503) 489-1760
Organization SubpartNo
Authorized OfficialMichelle SirianniEa & Federal Grants Program Manager · (503) 489-1760
Enumeration DateOctober 1, 2021
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1558033118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
18633 SE STARK ST STE 401, Portland, OR 97233
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BENEDICT MARK M BUNAL NP
Nurse Practitioner (Family)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
LESLIE GUADALUPE ACOSTA HERRERA MSW, CSWA, CHW
Social Worker
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
MARQUISHIA WINTERS FNP-BC
Nurse Practitioner (Family)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
AMBER MOREMEN
Dental Hygienist
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
DR. MERIT ROSHDY DMD
Dentist (General Practice)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
BRITTA MARINA MARTINEZ DMD
Dentist (General Practice)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
THE WALLACE MEDICAL CONCERN
Clinic/Center (Federally Qualified Health Center (FQHC))
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
ASHLEY SANDSNESS STUDENT, HEALTH CARE
Nurse Practitioner (Family)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760

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 The Wallace Medical Concern's NPI number?

The NPI number for The Wallace Medical Concern is 1558033118. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is The Wallace Medical Concern located?

The Wallace Medical Concern is located at 18633 SE Stark St Ste 401, Portland, OR 97233. The listed phone number is (503) 489-1760.

What is The Wallace Medical Concern's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for The Wallace Medical Concern was last updated on March 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.