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Provider Profile

Blake Wallace, CSWA

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At a glance

About Blake Wallace

Blake Wallace, CSWA is a clinical social worker practicing in Portland, OR. This provider record is associated with NPI 1518702976.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

OR licenceAs reported to the NPI registry
No. 24-QMHP-R-2920As reported
OR licenceAs reported to the NPI registry
No. A15334As reported
NPINational Provider Identifier
1518702976Issued 2024

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Blake Wallace specialize in?

Blake Wallace is a clinical social worker in Portland, OR. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Blake Wallace located?

Blake Wallace is listed at 3500 Ne Martin Luther King Jr Blvd Ste 200, Portland, OR 97212. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Blake Wallace's phone number?

The number on file is (503) 327-8205. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Blake Wallace's NPI number?

Blake Wallace's National Provider Identifier is 1518702976. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Blake Wallace been practicing?

Blake Wallace has 2+ years experience. Registered with an NPI since 2024. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Blake Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Blake Wallace. If this is you, claiming it is free.

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