THE WALLACE MEDICAL CONCERN
NPI 1841592110
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, OR
About The Wallace Medical Concern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE WALLACE MEDICAL CONCERN (NPI 1841592110), doing business as Wallace, is a healthcare organization registered as a federally qualified health center (fqhc) in Portland, Oregon and active in the NPI registry since November 2010. The organization lists Bethany Stairs, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Wallace Medical Concern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to The Wallace Medical Concern, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1841592110. It was assigned to this organization in the NPPES registry on November 18, 2010. The provider is doing business as Wallace. The provider is also known as Wallace Medical Concern.
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 Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is The Wallace Medical Concern enrolled in Medicare?
Yes. The Wallace Medical Concern is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Wallace Medical Concern?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to The Wallace Medical Concern. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Clinical Social Worker (2) and Family Practice (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does The Wallace Medical Concern accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 16 other insurers list The Wallace Medical Concern as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for The Wallace Medical Concern was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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.
# The Wallace Medical Concern · NPI 1841592110
Federally Qualified Health Center (FQHC) organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since November 18, 2010.
## Identity
- **NPI:** 1841592110 (Entity type: Organization)
- **Enumerated:** November 18, 2010
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Wallace (Doing Business As); Wallace Medical Concern (Other Name)
- **Organization subpart:** No
- **Authorized official:** Bethany Stairs, MEDICAL DIRECTOR
## Practice location
- **Address:** 18633 SE STARK ST STE 401, Portland, OR 97233-5468
- **Phone:** (503) 489-1760 · **Fax:** (503) 489-1763
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Social Worker (2), Family Practice (1); 2 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841592110) · Data from the CMS NPPES public registry.