NPIMap

The Wallace Medical Concern

A Medicare group practice based in Portland, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2365680865), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365680865The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
3
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20130522000417 OR Part A Provider - Federally Qualified Health Center (FQHC) 1841592110
O20150224001107 OR Part B Supplier - Clinic/Group Practice 1841592110
O20250418000846 OR Part A Provider - Federally Qualified Health Center (FQHC) 1881429918

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 10

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (10).

Sources for this page