Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Lynn Wallace, LMT

Individual provider Massage Therapist · NPI 1851807366

Jessica Lynn Wallace, LMT is a Massage Therapist in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

1217 NE Burnside Rd Ste 701D
Gresham, OR 97030-5770
Phone: (503) 665-8959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 23622 (OR)

Record details

NPI number1851807366
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

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