person
Mr. James Leeman Wallace, LMT
Massage Therapist in Wilsonville, Oregon
NPI 1841591559

James Leeman Wallace is a Massage Therapist based in Wilsonville, OR. James Leeman Wallace practices in Wilsonville, OR and has the professional credentials of LMT. The NPI Number for James Leeman Wallace is 1841591559 and holds a License No. 11808 (Oregon).

The current practice location address for James Leeman Wallace is 29650 Sw Courtside Dr, Wilsonville, OR and can be reached out via phone at 503-682-6774.

Location: 29650 Sw Courtside Dr, Wilsonville, OR, 97070-7482
person
Provider Profile Details
NPI Number
1841591559
Provider Name
James Leeman Wallace
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
29650 Sw Courtside Dr, Wilsonville, OR, 97070-7482
Phone Number
503-682-6774
Fax Number
Provider Enumeration Date
11/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29650 Sw Courtside Dr
City
State
Zip
97070-7482
Phone Number
503-682-6774
Fax Number
person
Provider Business Mailing Address Details
Address
29650 Sw Courtside Dr
City
State
Zip
97070-7482
Phone Number
503-682-6774
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
11808 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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