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MRS. ELIZABETH FRANCES WALLACE MA, LPC
NPI 1659538189
Counselor - Professional in Portland, OR

Active since May 21, 2008
6360 SW MERLIN CT, PORTLAND, OR 97219(503) 317-2498 Get Directions Write a Review

NPPES record last updated: December 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Elizabeth Frances Wallace Ma, Lpc NPPES

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

MRS. ELIZABETH FRANCES WALLACE MA, LPC (NPI 1659538189) is an individual professional provider in Portland, Oregon, licensed in Oregon (C2083) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1659538189
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ELIZABETH FRANCES WALLACECredential: MA, LPC
Location Address6360 SW MERLIN CTPortland, OR 97219-4942
Mailing Address6360 Sw Merlin CtPortland, OR 97219-4942 · (503) 317-2498
Phone(503) 317-2498
Sole ProprietorYes
Enumeration DateMay 21, 2008
Last NPPES UpdateDecember 4, 2021
NPPES CertifiedDecember 4, 2021
✔ NPI 1659538189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C2083
6360 SW MERLIN CT, Portland, OR 97219
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Other Names 1

Former Name (1)Miss Elizabeth Frances Jacob

Other Identifiers 1

Medicaid164936OR

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 Elizabeth Wallace's NPI number?

The NPI number for Elizabeth Wallace is 1659538189. It was assigned to this individual provider in the NPPES registry on May 21, 2008. The provider is also known as Miss Elizabeth Frances Jacob.

Where is Elizabeth Wallace located?

Elizabeth Wallace practices at 6360 SW Merlin Ct, Portland, OR 97219. The listed phone number is (503) 317-2498.

What is Elizabeth Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Elizabeth Wallace was last updated on December 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.