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Mike Wallace
NPI 1881413680 · Peer Specialist · Dallas, OR
Mike Wallace is a Peer Specialist provider in Dallas, OR (NPI 1881413680).
Provider details
- NPI number
- 1881413680
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2627 (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
945 Se Uglow Ave
Dallas, OR 97338-2642
Phone: (503) 837-1762
Street-level locationGet directions
Mailing address
1170 Barnes Ave Se Apt 222
Salem, OR 97306-3560
Registry dates
- Enumerated
- 2024-10-08
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Frequently asked questions
- What is Mike Wallace's NPI number?
- Mike Wallace's National Provider Identifier (NPI) is 1881413680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mike Wallace's specialty?
- Mike Wallace is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Mike Wallace located?
- Mike Wallace's practice location on file with NPPES is 945 Se Uglow Ave, Dallas, OR 97338-2642.
- What is Mike Wallace's phone number?
- The practice phone number listed in the NPPES registry for Mike Wallace is (503) 837-1762.
- Is Mike Wallace's NPI active?
- Yes — Mike Wallace's NPI (1881413680) is active in the NPPES registry as of the last update on 2024-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.