Search › Oregon › 101YP2500X
Harrison Wallace
NPI 1467310706 · on the registry since 2026
Practice
- Address
- 4247 Sw Hume St
Portland, OR 97219 - Phone
- (253) 301-8220
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon