Mr Evan James Wallace, - Counselor in Gresham, OR

Mr Evan James Wallace, is a Counselor - Mental Health based in Gresham, Oregon. Mr Evan James Wallace is licensed to practice in * (Not Available) (license number ) and his current practice location is 360 Sw 6th St, Gresham, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 726-3806.

NPI number for Mr Evan James Wallace is 1073859351 and his current mailing address is 8915 Sw Center St., Tigard, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073859351.

Contact Information

Mr Evan James Wallace,
360 Sw 6th St,
Gresham, OR 97080-9475
(503) 726-3806
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Evan James Wallace
GenderMale
SpecialityCounselor - Mental Health
Location360 Sw 6th St, Gresham, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073859351
  • Provider Enumeration Date: 12/14/2012
  • Last Update Date: 12/14/2012

Medical Identifiers

Medical identifiers for Mr Evan James Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073859351NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Evan James Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Evan James Wallace,
8915 Sw Center St.,
Tigard, OR 97223

Ph: (503) 726-3740
Mr Evan James Wallace,
360 Sw 6th St,
Gresham, OR 97080-9475

Ph: (503) 726-3806

Reviews and Comments

Counselor in Gresham, OR

Kathy A Litvin, CSWA/QMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 620 Ne 2nd St, Gresham, OR 97030
Phone: 971-274-3757    Fax: 503-912-5740
Laurie Anne Ricken, B.A.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 400 Ne 7th St, Gresham, OR 97030
Phone: 503-661-5455    
Angel T Hirsch, QMHP-C
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 620 Ne 2nd St, Gresham, OR 97030
Phone: 503-224-1044    Fax: 503-621-2235
Mr. David J. Lowe, M.A., LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1890 Ne Cleveland Ave, Gresham, OR 97030
Phone: 503-492-1200    
Kayla Rae Wojda,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 912 Ne Kelly Ave Ste 200, Gresham, OR 97030
Phone: 503-352-7333    
Christina H Collier, QMHA-I
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 620 Ne 2nd St, Gresham, OR 97030
Phone: 971-274-3757    Fax: 503-912-5740
Cheryl Jardine, LPC, QMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 400 Ne Seventh, Gresham, OR 97030
Phone: 503-661-5455    

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