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JESSICA LYNN WALLACE LMT
NPI 1851807366
Massage Therapist in Gresham, OR

Active since December 19, 2017
1217 NE BURNSIDE RD STE 701D, GRESHAM, OR 97030(503) 665-8959 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Dec 19, 2017 (2 updates tracked since 2017).

About Jessica Lynn Wallace Lmt NPPES

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

JESSICA LYNN WALLACE LMT (NPI 1851807366) is an individual massage therapist in Gresham, Oregon, licensed in Oregon (23622) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1851807366
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA LYNN WALLACECredential: LMT
Location Address1217 NE BURNSIDE RD STE 701DGresham, OR 97030-5770
Mailing Address1217 Ne Burnside Rd Ste 701dGresham, OR 97030-5770 · (503) 665-8959
Phone(503) 665-8959
Sole ProprietorNo
Enumeration DateDecember 19, 2017
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1851807366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 23622
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.
1217 NE BURNSIDE RD STE 701D, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL LEAKE LMT
Massage Therapist
1217 NE BURNSIDE RD STE 701D
GRESHAM, OR 97030
Multnomah County (503) 348-4797

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 Jessica Wallace's NPI number?

The NPI number for Jessica Wallace is 1851807366. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Where is Jessica Wallace located?

Jessica Wallace practices at 1217 NE Burnside Rd Ste 701D, Gresham, OR 97030. The listed phone number is (503) 665-8959.

What is Jessica Wallace's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does Jessica Wallace accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Jessica Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Wallace was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.