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MISS MICHELLE LYNN WALLACE LMT
NPI 1497091805
Specialist in Eugene, OR

Active since December 13, 2012
508 BLAIR BLVD, EUGENE, OR 97402(541) 543-0290 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miss Michelle Lynn Wallace Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MICHELLE LYNN WALLACE LMT (NPI 1497091805) is an individual specialist in Eugene, Oregon, licensed in Oregon (12250) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1497091805
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMISS MICHELLE LYNN WALLACECredential: LMT
Location Address508 BLAIR BLVDEugene, OR 97402-4630
Mailing Address3720 Stewart RdEugene, OR 97402-5405 · (541) 543-0290
Phone(541) 543-0290
Sole ProprietorYes
Enumeration DateDecember 13, 2012
✔ NPI 1497091805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 12250
Definition
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.
508 BLAIR BLVD, Eugene, OR 97402
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Wallace's NPI number?

The NPI number for Michelle Wallace is 1497091805. It was assigned to this individual provider in the NPPES registry on December 13, 2012.

Where is Michelle Wallace located?

Michelle Wallace practices at 508 Blair Blvd, Eugene, OR 97402. The listed phone number is (541) 543-0290.

What is Michelle Wallace's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michelle Wallace was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.