Wallace, Joy Michelle
Wallace, Joy Michelle is an individual health care provider with primary practice located at 209 Sw Forth Ave Suite 520, Portland OR 97204-1813. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wallace, Joy Michelle can be contacted via phone (503) 988-5464.Contact Information
Primary practice address
209 Sw Forth Ave Suite 520
Portland OR 97204-1813
Phone: (503) 988-5464
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1679356059 |
|---|---|
| LBN Legal business name | Wallace, Joy Michelle |
| Credentials | QMHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2023 |
| Last updated | Aug 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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