Individual provider · Type 1 NPI
Harrison James Wallace
Professional Counselor · Portland, OR
NPI number
1467310706
Active
Practice location
4247 SW Hume St
Portland, OR 97219-3552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1467310706
Harrison James Wallace's National Provider Identifier is 1467310706, issued on Jan 14, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jan 14, 2026.