1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Music Therapist
  6. NPI Profile

MIKELIA WALLACE MT-BC
NPI 1497469597
Music Therapist in Portland, OR

Active since January 12, 2023
12608 SE ALDER ST APT 60, PORTLAND, OR 97233(352) 303-5352 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mikelia Wallace Mt-bc NPPES

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

MIKELIA WALLACE MT-BC (NPI 1497469597) is an individual music therapist in Portland, Oregon, licensed in (16398) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1497469597
Entity TypeIndividualFemale
Primary Taxonomy225A00000X
Provider Legal NameMIKELIA WALLACECredential: MT-BC
Location Address12608 SE ALDER ST APT 60Portland, OR 97233-1688
Mailing Address12608 Se Alder St Apt 60Portland, OR 97233-1688 · (352) 303-5352
Phone(352) 303-5352
Sole ProprietorYes
Enumeration DateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
✔ NPI 1497469597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMusic TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225A00000X
License✔ Licensed · 16398
Definition
Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.
12608 SE ALDER ST APT 60, Portland, OR 97233
Open in Google Maps ↗

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 Mikelia Wallace's NPI number?

The NPI number for Mikelia Wallace is 1497469597. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Where is Mikelia Wallace located?

Mikelia Wallace practices at 12608 SE Alder St Apt 60, Portland, OR 97233. The listed phone number is (352) 303-5352.

What is Mikelia Wallace's specialty?

The primary specialty registered for this NPI is Music Therapist with taxonomy code 225A00000X.

When was this NPI record last updated?

The NPPES record for Mikelia Wallace was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.