Search › Oregon › 225A00000X
Mikelia Wallace, MT-BC
NPI 1497469597 · on the registry since 2023 · sole proprietor
Practice
- Address
- 12608 Se Alder St Apt 60
Portland, OR 97233 - Phone
- (352) 303-5352
Registry record
- Primary taxonomy
- 225A00000X
225A00000X
- Sex
- Female
- Record last updated
- 2023-01-12
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