Individual provider · Type 1 NPI

Michelle Lynn Wallace, LMT

Specialist · Eugene, OR

NPI number 1497091805 Active

Practice location

508 Blair Blvd
Eugene, OR 97402-4630

Call (541) 543-0290 Map

Mailing address

3720 Stewart Rd
Eugene, OR 97402-5405

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X12250 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other specialist providers in Eugene

See all in Eugene →

About NPI 1497091805

Michelle Lynn Wallace, LMT's National Provider Identifier is 1497091805, issued on Dec 13, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Eugene, OR. The record was last updated on Dec 13, 2012.