IndividualActive
Jennifer Wallace, MD
NPI 1730154154 · Family Medicine Physician · Portland, OR
Jennifer Wallace, MD is a Family Medicine Physician provider in Portland, OR (NPI 1730154154).
Provider details
- NPI number
- 1730154154
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD24427 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1235 Se Division St
Suite 208
Portland, OR 97202-1099
Phone: (888) 480-1115
Street-level locationGet directions
Mailing address
1235 Se Division St
Portland, OR 97202-1099
Registry dates
- Enumerated
- 2006-02-20
- Last updated
- 2008-03-18
Frequently asked questions
- What is Jennifer Wallace's NPI number?
- Jennifer Wallace's National Provider Identifier (NPI) is 1730154154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wallace's specialty?
- Jennifer Wallace is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jennifer Wallace located?
- Jennifer Wallace's practice location on file with NPPES is 1235 Se Division St, Portland, OR 97202-1099.
- What is Jennifer Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wallace is (888) 480-1115.
- Is Jennifer Wallace's NPI active?
- Yes — Jennifer Wallace's NPI (1730154154) is active in the NPPES registry as of the last update on 2008-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.