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James Wallace, LMT
NPI 1841591559 · on the registry since 2010 · sole proprietor
Practice
- Address
- 29650 Sw Courtside Dr
#14
Wilsonville, OR 97070 - Phone
- (503) 682-6774
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-11
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