Jessica Wallace, LMT

NPI 1851807366 · on the registry since 2017

Practice

Address: 1217 Ne Burnside Rd Ste 701d
Gresham, OR 97030
Phone: (503) 665-8959
Organisation at this address: Brian Knight Do Llc
Kathleen Kline, Lmt
Home Care Heroes Llc
Cheryl C. Tidball Do Pc
Complete Family Healthcare, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

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: 2025-03-24

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