Mr. Evan James Wallace
Mr. Evan James Wallace is a Mental Health Counselor provider (Counselor) practicing in Gresham, OR, registered in the NPPES registry with NPI 1073859351 since 2012.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073859351 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Evan James Wallace |
| Sex | Male |
| Practice address | 360 SW 6TH ST, Gresham, OR, 97080 |
| Phone | 5037263806 |
| Enumeration date | 2012-12-14 |
| Last updated in NPPES | 2012-12-14 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Primary | — | — |
Copy-ready billing details
Provider: Evan Wallace NPI: 1073859351 Taxonomy: 101YM0800X (Mental Health Counselor) Address: 360 SW 6TH ST, Gresham, OR, 97080
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417240466 | Tina Webb | Individual | Mental Health Counselor | Gresham, OR |
| 1528351558 | Leah Wilkinson | Individual | Mental Health Counselor | Gresham, OR |
| 1356634380 | Amber Lewis | Individual | Mental Health Counselor | Gresham, OR |
| 1043503006 | Luke-Dorf, Inc. | Organization | Mental Illness Community Based Residential Treatment Facility | Gresham, OR |
| 1710271861 | Lukedorf | Organization | Mental Illness Community Based Residential Treatment Facility | Gresham, OR |
| 1255626982 | Lovemore Hakuna | Individual | Counselor | Gresham, OR |
| 1295020824 | Vivian Krieger | Individual | Mental Health Counselor | Gresham, OR |
| 1235425893 | Marilyn Oliver | Individual | Counselor | Gresham, OR |
Verify this record
Cross-check NPI 1073859351 against the authoritative CMS record: view Mr. Evan James Wallace on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-12-14.