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THE WALLACE MEDICAL CONCERN

Primary Care Clinic/Center

NPI: 1215390091Organization

Specialties, Licenses & Credentials

Dentist

Code: 122300000X

Dental Hygienist

Code: 124Q00000X

Clinic/Center — Primary Care

Code: 261QP2300X

Contact & Hours

Address
18139 NE COUCH STREET
PORTLAND, OR 97230

Quick Facts

NPI
1215390091
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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