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THE WALLACE MEDICAL CONCERN
NPI 1881429918
Family Medicine in Gresham, OR

Active since September 06, 2024
1165 N MAIN AVE, GRESHAM, OR 97030(503) 489-1760(503) 489-1763 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Wallace Medical Concern NPPES

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

THE WALLACE MEDICAL CONCERN (NPI 1881429918), doing business as Wallace, is a healthcare organization registered as a family medicine in Gresham, Oregon and active in the NPI registry since September 2024. The organization lists Lisa Cline, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881429918
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHE WALLACE MEDICAL CONCERN
Location Address1165 N MAIN AVEGresham, OR 97030-5543
Mailing Address18633 Se Stark St Ste 401Portland, OR 97233-5468 · (503) 489-1760 · Fax (503) 489-1763
Phone(503) 489-1760
Fax(503) 489-1763
Organization SubpartNo
Authorized OfficialLisa ClineCeo · (503) 489-1760
Enumeration DateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
✔ NPI 1881429918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedDental HygienistTaxonomy 124Q00000X
1165 N MAIN AVE, Gresham, OR 97030
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Other Names 1

Doing Business AsWallace

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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 1881429918. It was assigned to this organization in the NPPES registry on September 6, 2024. The provider is doing business as Wallace.

Where is The Wallace Medical Concern located?

The Wallace Medical Concern is located at 1165 N Main Ave, Gresham, OR 97030. The listed phone number is (503) 489-1760.

What is The Wallace Medical Concern's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does The Wallace Medical Concern accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon 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 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.