The Wallace Medical Concern
Federally qualified health center in Gresham, OR, Medicare certification number 381935.
Medicare certification
Provider of Services- CCN
- 381935
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- Non-profit – corporation
- Participating since
- May 7, 2013
- Last certification
- May 7, 2013
- Address
- 18633 SE Stark St, Ste 401
Gresham, OR 97233
(503) 489-1760
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Wallace
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1841592110
Medicare enrollment
Other federally qualified health centers in Gresham, OR
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.