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LAUREL LYNN WALLACE
NPI 1881337319
Peer Specialist in Enterprise, OR

Active since April 13, 2022
606 MEDICAL PKY, ENTERPRISE, OR 97828(541) 426-4524 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 8, 2022, Apr 13, 2022 (2 updates tracked since 2022).

About Laurel Lynn Wallace NPPES

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

LAUREL LYNN WALLACE (NPI 1881337319) is an individual peer specialist in Enterprise, Oregon and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1881337319
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLAUREL LYNN WALLACE
Location Address606 MEDICAL PKYEnterprise, OR 97828
Mailing Address405 Nw 2nd StEnterprise, OR 97828-1014 · (541) 398-8671
Phone(541) 426-4524
Sole ProprietorYes
Enumeration DateApril 13, 2022
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1881337319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
606 MEDICAL PKY, Enterprise, OR 97828
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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 Laurel Wallace's NPI number?

The NPI number for Laurel Wallace is 1881337319. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Laurel Wallace located?

Laurel Wallace practices at 606 Medical Pky, Enterprise, OR 97828. The listed phone number is (541) 426-4524.

What is Laurel Wallace's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Laurel Wallace was last updated on August 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.