Organization · Type 2 NPI

The Wallace Medical Concern

Dentist · Portland, OR

NPI number 1215390109 Active

Practice location

18139 NE Couch St
Portland, OR 97230-7222

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed
Pediatric Dentistry 1223P0221XNone listed
Dental Hygienist 124Q00000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1215390109

The Wallace Medical Concern's National Provider Identifier is 1215390109, issued on Mar 30, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Portland, OR. The record was last updated on Sep 17, 2026.