Individual provider · Type 1 NPI

Valorie June Wallace, LMT

Massage Therapist · Portland, OR

NPI number 1497267652 Active

Practice location

2933 NE Broadway St
Portland, OR 97232-1760

Call (971) 236-2963 Map

Other practice locations

  • 6504 NE Siskiyou St, Portland, OR 97213-4572 · (503) 327-3819

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23479 (OR)

Massage Therapist: 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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About NPI 1497267652

Valorie June Wallace, LMT's National Provider Identifier is 1497267652, issued on Oct 27, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 7, 2021.