Mike Wallace
Peer Specialist • Dallas, OR
Professional Overview & Biography Verified Profile Summary
Mike Wallace is a registered healthcare professional specializing in Peer Specialist in Dallas, OR. Practice services are available at 945 SE UGLOW AVE under active NPI credentials.
Practice Location & Contact Primary Location
945 Se Uglow Ave
Dallas, OR 973382642
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Dallas, OR
Practicing in Dallas, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-10-08NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Peer Specialist
Peer Specialist
Peer Specialist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 945 SE UGLOW AVE, DALLAS, OR 973382642 (Tel: 5038371762)
Registered at 1170 BARNES AVE SE APT 222, SALEM, OR 973063560 (Tel: 5039491008)
Recorded as MIKE WALLACE
Peer Specialist (License #2627 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1170 Barnes Ave Se Apt 222
Salem, OR 973063560
Phone: 5039491008
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.