Search › Oregon › Peer Specialist
Mike Wallace
NPI 1881413680 · on the registry since 2024 · sole proprietor
Practice
- Address
- 945 Se Uglow Ave
Dallas, OR 97338 - Phone
- (503) 837-1762
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-08
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