Individual provider · Type 1 NPI

Candor Wallace

School Counselor · Portland, OR

NPI number 1538038765 Active

Practice location

501 N Dixon St
Portland, OR 97227-1876

Specialties and licenses

TaxonomyCodeLicense
School Counselor Primary 101YS0200X528037 (OR)

School Counselor: Definition to come...

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About NPI 1538038765

Candor Wallace's National Provider Identifier is 1538038765, issued on Nov 4, 2025. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in Portland, OR. The record was last updated on Nov 4, 2025.