The Wallace Medical Concern
The Wallace Medical Concern is a healthcare organization registered as Family Medicine Physician in Gresham, OR, holding Type 2 (organization) NPI 1881429918 since 2024. The authorized official on file is Lisa Cline, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1881429918 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | The Wallace Medical Concern |
| Practice address | 1165 N MAIN AVE, Gresham, OR, 97030 |
| Phone | 5034891760 |
| Fax | 5034891763 |
| Enumeration date | 2024-09-06 |
| Last updated in NPPES | 2024-09-06 |
Authorized official
| Name | Lisa Cline |
|---|---|
| Title | Ceo |
| Phone | 5034891760 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 104100000X | Social Worker | Secondary | — | — |
| 124Q00000X | Dental Hygienist | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: The Wallace Medical Concern NPI: 1881429918 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1165 N MAIN AVE, Gresham, OR, 97030
Verify this record
Cross-check NPI 1881429918 against the authoritative CMS record: view The Wallace Medical Concern 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
What is the NPI number for The Wallace Medical Concern?
Who is the authorized official for The Wallace Medical Concern?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-06.