Organization · Type 2 NPI
The Wallace Medical Concern
Dental Clinic/Center · Portland, OR
NPI number
1558033118
Active
Practice location
18633 SE Stark St Ste 401
Portland, OR 97233-5468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
11 other providers at this address
- The Wallace Medical ConcernFederally Qualified Health Center (FQHC) Portland, OR NPI 1841592110
- Amber MoremenDental Hygienist Portland, OR NPI 1497597207
- Ashley Sandsness, STUDENT, HEALTH CAREFamily Nurse Practitioner Portland, OR NPI 1932993615
- Benedict Mark M. Bunal, NPFamily Nurse Practitioner Portland, OR NPI 1508580119
- Britta Marina Martinez, DMDGeneral Practice Dentistry Portland, OR NPI 1689107831
- Kristina Michelle Leidich, FNPFamily Medicine Physician Portland, OR NPI 1619517406
- Leslie Guadalupe Acosta Herrera, MSW, CSWA, CHWSocial Worker Portland, OR NPI 1851175574
- Marquishia Winters, FNP-BCFamily Nurse Practitioner Portland, OR NPI 1184402992
- Merit Roshdy, DMDGeneral Practice Dentistry Portland, OR NPI 1053140517
- Mikhail Bondarew, DDSDentist Portland, OR NPI 1124530043
- Stephanie Lux Silleck, NPFamily Nurse Practitioner Portland, OR NPI 1326692831
Other dental clinic/center providers in Portland
- Noor A Khaki DMD PCDental Clinic/Center Portland, OR NPI 1023668571
- Jonna E Hongo DMD LLCDental Clinic/Center Portland, OR NPI 1033624929
- Embrace Orthodontics, LLCDental Clinic/Center Portland, OR NPI 1043149602
- Broadway Dental, P.c.Dental Clinic/Center Portland, OR NPI 1043425697
- Amethyst Dental LLCDental Clinic/Center Portland, OR NPI 1053177790
- Charles L Branen DMD PCDental Clinic/Center Portland, OR NPI 1053614396
- Portland Dental SmilesDental Clinic/Center Portland, OR NPI 1063065068
- Randy Allen Castle Dmd, PCDental Clinic/Center Portland, OR NPI 1063766251
About NPI 1558033118
The Wallace Medical Concern's National Provider Identifier is 1558033118, issued on Oct 1, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on Mar 23, 2026.