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KIMBERLY WALLACE CADC 1
NPI 1942592340
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since May 04, 2011
1427 SE 182ND AVE, PORTLAND, OR 97233(971) 202-7851(503) 206-7164 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Wallace Cadc 1 NPPES

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

KIMBERLY WALLACE CADC 1 (NPI 1942592340) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (140414) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1942592340
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIMBERLY WALLACECredential: CADC 1
Location Address1427 SE 182ND AVEPortland, OR 97233-5008
Mailing Address1427 Se 182nd AvePortland, OR 97233-5008
Phone(971) 202-7851
Fax(503) 206-7164
Sole ProprietorNo
Enumeration DateMay 4, 2011
Last NPPES UpdateOctober 4, 2018
✔ NPI 1942592340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 140414
1427 SE 182ND AVE, Portland, OR 97233
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Other Providers at the Same Location NPPES 20

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

JULIANNA HALEEN
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
MR. MELVIN JESS GUARDIPEE JR. CADC II
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
MAYTRONE SHEMARLAND CLAYBORN BA, MDIV
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6005
CLARE CALLAN
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
MARLON ASHFORD CRM/PSS
Peer Specialist
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
MARIA KRUEGER
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6005
MICHELLE ANN PETERSON CADAC-II
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
BRIANNA BROWN CACD II
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (971) 369-5642

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 Kimberly Wallace's NPI number?

The NPI number for Kimberly Wallace is 1942592340. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Kimberly Wallace located?

Kimberly Wallace practices at 1427 SE 182nd Ave, Portland, OR 97233. The listed phone number is (971) 202-7851.

What is Kimberly Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kimberly Wallace was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.