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Earnest Wallace, PSS
NPI 1730927815 · Peer Specialist · Portland, OR
Earnest Wallace, PSS is a Peer Specialist provider in Portland, OR (NPI 1730927815).
Provider details
- NPI number
- 1730927815
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PSS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 111712 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
5201 Sw Westgate Dr Ste 100
Portland, OR 97221-2424
Phone: (469) 297-0096
Street-level locationGet directions
Mailing address
423 Mckinley St
Cedar Hill, TX 75104-2287
Registry dates
- Enumerated
- 2024-07-15
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Frequently asked questions
- What is Earnest Wallace's NPI number?
- Earnest Wallace's National Provider Identifier (NPI) is 1730927815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Earnest Wallace's specialty?
- Earnest Wallace is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Earnest Wallace located?
- Earnest Wallace's practice location on file with NPPES is 5201 Sw Westgate Dr Ste 100, Portland, OR 97221-2424.
- What is Earnest Wallace's phone number?
- The practice phone number listed in the NPPES registry for Earnest Wallace is (469) 297-0096.
- Is Earnest Wallace's NPI active?
- Yes — Earnest Wallace's NPI (1730927815) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.