The Wallace Medical Concern
NPI 1881429918 · Family Medicine Physician · Gresham, OR
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Wallace Medical Concern is a Family Medicine Physician organization in Gresham, OR (NPI 1881429918).
Provider details
- NPI number
- 1881429918
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Cline, Ceo(503) 489-1760
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Dental Hygienist124Q00000X
Dental Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Wallace
Registry dates
- Enumerated
- 2024-09-06
- Last updated
- 2024-09-06
- Certified
- 2024-09-06
Frequently asked questions
- What is The Wallace Medical Concern's NPI number?
- The Wallace Medical Concern's National Provider Identifier (NPI) is 1881429918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Wallace Medical Concern?
- The Wallace Medical Concern is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is The Wallace Medical Concern located?
- The Wallace Medical Concern's practice location on file with NPPES is 1165 N Main Ave, Gresham, OR 97030-5543.
- What is The Wallace Medical Concern's phone number?
- The practice phone number listed in the NPPES registry for The Wallace Medical Concern is (503) 489-1760.
- Does The Wallace Medical Concern accept Medicare?
- The Wallace Medical Concern is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Wallace Medical Concern?
- The authorized official listed on The Wallace Medical Concern's NPPES record is Lisa Cline, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Wallace Medical Concern's NPI active?
- Yes — The Wallace Medical Concern's NPI (1881429918) is active in the NPPES registry as of the last update on 2024-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.