NPI 1497469597

Mikelia Wallace, MTBC

Practitioner Music Therapist Portland, OR

Practice location

Address: 12608 SE Alder St APT 60, Portland, OR 97233-1688
Phone: (352) 303-5352

Registered specialties

Music Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X Licence 16398

Other Music Therapist providers in Oregon →

Registry record

NPI: 1497469597
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2023
Record last updated: 12 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.