The Wallace Medical Concern
NPI 1215390109 · Family Nurse Practitioner · Gresham, OR
The Wallace Medical Concern is a Family Nurse Practitioner organization in Gresham, OR (NPI 1215390109).
Provider details
- NPI number
- 1215390109
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- William Roller, Operations Director(503) 489-1760
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2016-03-30
Frequently asked questions
- What is The Wallace Medical Concern's NPI number?
- The Wallace Medical Concern's National Provider Identifier (NPI) is 1215390109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Wallace Medical Concern?
- The Wallace Medical Concern is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is The Wallace Medical Concern located?
- The Wallace Medical Concern's practice location on file with NPPES is 254 Nw Burnside Road, Gresham, OR 97030.
- What is The Wallace Medical Concern's phone number?
- The practice phone number listed in the NPPES registry for The Wallace Medical Concern is (503) 489-1760.
- Who is the authorized official for The Wallace Medical Concern?
- The authorized official listed on The Wallace Medical Concern's NPPES record is William Roller, Operations Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Wallace Medical Concern's NPI active?
- Yes — The Wallace Medical Concern's NPI (1215390109) is active in the NPPES registry as of the last update on 2016-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.