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Governance Register
US nonprofit · EIN 824209837 · Portland, ORiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 824209837) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990 for the year to 30 June 2025: assets, liabilities, staff, website, telephone, pay.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Portland Street Medicine's network

6 people1 organisationi6 people and 1 organisation on this map.The large node is the subject of this page. Solid lines are what the register itself records (6). Violet dotted lines (1) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

6 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record. The organisation reported 6 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Daniel BissellPresident2020
6 yrs
Drew GrabhamBoard Member2020
6 yrs
Fiona TaitTreasurer2020
6 yrs
Juliana WallaceBoard Member2023
3 yrs
Robert CloutierBoard Member2020
6 yrs
William ToepperCompany secretary2020
6 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

5 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Amanda JensenEmployee2023
Andra Stoll CarrickInterim Executive Director2023
Molly PringleExec Directorsince 2020
Robert ShryockDirector of Operations2022
Wren RonanDirector of Programssince 2022

Pay and hours

year to 30 June 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Andra Stoll CarrickExecutive Di32$109k$3k
Kasey AndersonBoard Member3$0
Drew GrabhamSecretary5$0
Lisa HawashSecretary5$0
Peter LundgrenBoard Member3$0
Daniel Bissell MDBoard Member3$0
Robert Cloutier MDBoard Member3$0
Fiona TaitTreasurer6$0
Juliana WallacePresident6$0

About

Legal name
Portland Street Medicine
EIN
824209837
Address
2717 Ne Broadway St, Portland, OR, 97232-1722
State
Oregon
Mission
We offer our homeless neighbors accessible whole-person care to improve and support health, and to bridge a gap in trust between people and systems. (as filed on the Form 990)
Activity (NTEE)
E70 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
6 (IRS master file code)
Formed
2018
Principal officer
Juliana Wallace (as named on the Form 990)
IRS ruling date
1 March 2019
Status
Code 01 (unconditional exemption)
Form 990 filings on record
4, latest 2023
IRS Publication 78
PC (contributions deductible)

Most connected

Longest observed on the filings

≥6years on the filingsDaniel Bissell
≥6years on the filingsDrew Grabham
≥6years on the filingsFiona Tait
≥6years on the filingsRobert Cloutier

Latest return

year to 30 June 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 30 June 2025. US dollars, as filed.
Total assets
$1m
Total liabilities
$157k
Net assets or fund balances
$889k
Contributions and grants received
$1.7m
Program service revenue
$4k
Employees
16
Volunteers
134

State registration

1 entityiBusiness-entity registers published by US states. These records are matched to this organisation by name and state, not by EIN, and are labelled as likely matches. Street addresses are not shown.
Portland Street Medicine likely matchiMatched by exact name and state (and ZIP where shown). State registers do not publish EINs, so this is not a confirmed match. Source: Oregon Secretary of State, active business entities (data.oregon.gov tckn-sxa6). Licence not stated. Data last fetched 18 October 2026.
State
Oregon
Entity type
nonprofit corporation
Status
Active
Formed
3 January 2018
Registered agent
Juliana Wallace (city and state not held)