ROBERT E WALLACE
NPI 1679455703
Counselor - Mental Health in Coos Bay, OR

Q: What is Robert Wallace's NPI number?

The NPI number for Robert Wallace is 1679455703. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Q: What is Robert Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Robert Wallace was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since July 21, 2025

93463 ALABAMA LN, COOS BAY, OR 97420(660) 525-6182 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Robert E Wallace NPPES

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

ROBERT E WALLACE (NPI 1679455703) is an individual mental health provider in Coos Bay, Oregon, licensed in Oregon (25-QMHP-R-3536) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1679455703

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameROBERT E WALLACE

Location Address93463 ALABAMA LNCoos Bay, OR 97420-3977

Mailing AddressPo Box 653Coos Bay, OR 97420-0124

Phone(660) 525-6182

Sole ProprietorNo

Enumeration DateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1679455703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · 25-QMHP-R-3536

93463 ALABAMA LN, Coos Bay, OR 97420

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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 Robert Wallace's NPI number?

The NPI number for Robert Wallace is 1679455703. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Robert Wallace located?

Robert Wallace practices at 93463 Alabama Ln, Coos Bay, OR 97420. The listed phone number is (660) 525-6182.

What is Robert 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 Robert Wallace was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.