Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brendan Wallace

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1982430344

Brendan Wallace is a Psychiatric/Mental Health Registered Nurse in Tualatin, Oregon. Licensed in Alaska and Oregon. Registered with an NPI since 2024.

Licensed in
AK, OR
In the registry since
2024
Specialties on file
2

Practice location Address checks out

9345 SW Skokomish Ln
Tualatin, OR 97062-7316
Phone: (971) 979-2149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 202000644RN (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 228251 (AK)

Record details

NPI number1982430344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024