Breeanna Wallace, LMT, MLD-C

NPI 1790325470 · on the registry since 2020

Practice

Address: 180 Clear Creek Dr Ste 104
Ashland, OR 97520
Phone: (907) 978-8989
Organisation at this address: Kitchen Table Counseling
Center For Chinese Medicine, Pc
Lavender & Lull Therapeutic Massage Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

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: 2025-04-30

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