What is Agustina Wallace's NPI number?

Agustina Wallace's National Provider Identifier (NPI) is 1811856339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Agustina Wallace's specialty?

Agustina Wallace is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Agustina Wallace located?

Agustina Wallace's practice location on file with NPPES is 1132 Sw 13th Ave, Portland, OR 97205-1703.

What is Agustina Wallace's phone number?

The practice phone number listed in the NPPES registry for Agustina Wallace is (503) 535-3860.

Is Agustina Wallace's NPI active?

Yes — Agustina Wallace's NPI (1811856339) is active in the NPPES registry as of the last update on 2026-01-20.

IndividualActive

Agustina Wallace

NPI 1811856339 · Peer Specialist · Portland, OR

Agustina Wallace is a Peer Specialist provider in Portland, OR (NPI 1811856339).

Provider details

NPI number: 1811856339
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: 109318 (OR)

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense 109318 (OR)
Other Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

1132 Sw 13th Ave

Portland, OR 97205-1703

Phone: (503) 535-3860

Street-level locationGet directions

More OR providers

Mailing address