Search › Oregon › 225700000X
Valorie Wallace, LMT
NPI 1497267652 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2933 Ne Broadway St
Portland, OR 97232 - Phone
- (971) 236-2963
- Organisation at this address
- Marya Deda Inc
Body Ritual Llc
Lavender Moon Wellness LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 6504 Ne Siskiyou St, Portland, OR
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-07
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