{"npi":"1518006709","type":"NPI-1","status":"active","name":{"display":"Fabiana Wallis PH.D.","other":[],"first":"FABIANA","last":"WALLIS","credential":"PH.D."},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"OR","license":"1657"}]},"addresses":[{"purpose":"LOCATION","street_1":"7 SE 30TH AVE","city":"PORTLAND","state":"OR","postal_code":"972141902","country_code":"US","phone":"5039394737"},{"purpose":"MAILING","street_1":"115 SE 16TH AVE","city":"PORTLAND","state":"OR","postal_code":"972141441","country_code":"US","phone":"5038892849","fax":"5037350912"}],"license":{"state":"OR","number":"1657"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-05","last_updated":"2026-05-24","_meta":{"source":"NPPES","snapshot_date":"2026-05-24","doc_url":"https://findmynpi.com/api"}}