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The Wallace Medical Concern

Federally Qualified Health Center (FQHC) in Portland, OR · enumerated 2010 · authorized official Lisa Cline, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841592110

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Registry record

Entity type Organization (Type 2)
Legal business name The Wallace Medical Concern
Other name <Unavail>
Practice address 18633 Se Stark St Ste 401, Portland, OR, 97233
Fax (503) 489-1763
Enumeration date Nov 18, 2010
Last updated in NPPES May 22, 2026

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
124Q00000X Dental Hygienist Dental Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
332900000X Non-Pharmacy Dispensing Site Suppliers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Lisa Cline
Title Chief Executive Officer

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.

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Frequently asked questions

Where is The Wallace Medical Concern located?
The practice location on file with NPPES is in Portland, OR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-05-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-22.