Search › Oregon › 1041C0700X
Bethany Wallace, LCSW
NPI 1992987754 · on the registry since 2007
Practice
- Address
- 2450 Lancaster Dr Ne
Salem, OR 97305 - Phone
- (503) 783-4004
- Clinicians at this address
- 3
Additional practice sites
- 1815 Church St Se, Salem, OR
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-02
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