Tracie Walliker, LMT

NPI 1306458757 · on the registry since 2020 · sole proprietor

Practice

Address: 2311 E Burnside St
Portland, OR 97214
Phone: (503) 314-9297
Fax: (971) 319-2195
Organisation at this address: Mari Greenly, Lac, Llc
Clare Katner Llc Dba East Bridge Massage
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon