SUSAN K WALLACE IV
NPI 1679778914
Counselor - Mental Health in Bend, OR

Active since June 18, 2007
63360 NW BRITTA ST STE 1, BEND, OR 97701(541) 318-4845 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan K Wallace Iv NPPES

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

SUSAN K WALLACE IV (NPI 1679778914) is an individual mental health provider in Bend, Oregon and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1679778914
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN K WALLACE IV
Location Address63360 NW BRITTA ST STE 1Bend, OR 97701-9475
Mailing Address21865 Bear Creek RdBend, OR 97701-9660 · (541) 318-8082
Sole ProprietorYes
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 20, 2007
NPI 1679778914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
63360 NW BRITTA ST STE 1, Bend, OR 97701

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
63360 NW BRITTA ST STE 1
BEND, OR 97701
Case Manager/Care Coordinator
63360 NW BRITTA ST STE 1
BEND, OR 97701
Counselor (Mental Health)
63360 NW BRITTA ST STE 1
BEND, OR 97701
Counselor
63360 NW BRITTA ST STE 1
BEND, OR 97701
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
63360 NW BRITTA ST STE 1
BEND, OR 97701
Counselor (Mental Health)
63360 NW BRITTA ST STE 1
BEND, OR 97701
Registered Nurse (Community Health)
63360 NW BRITTA ST STE 1
BEND, OR 97701
Counselor (Mental Health)
63360 NW BRITTA ST STE 1
BEND, OR 97701

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 Susan Wallace's NPI number?

The NPI number for Susan Wallace is 1679778914. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Susan Wallace located?

Susan Wallace practices at 63360 NW Britta St Ste 1, Bend, OR 97701. The listed phone number is (541) 318-4845.

What is Susan 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 Susan Wallace was last updated on July 20, 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.