IndividualActive
Candor Wallace
NPI 1538038765 · School Counselor · Portland, OR
Provider details
- NPI number
- 1538038765
- Entity type
- Individual
- Primary specialty
- School CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 528037 (OR)
Mailing address
501 N Dixon St
Portland, OR 97227-1876
Registry dates
- Enumerated
- 2025-11-04
- Last updated
- 2025-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.