MR. JAMES LEEMAN WALLACE (NPI# 1841591559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841591559 |
| Entity Type | Individual |
| Full Name | MR. JAMES LEEMAN WALLACE |
| Credential | LMT |
| Practice Address |
29650 Sw Courtside Dr #14 Wilsonville OR 97070-7482 |
| Practice Telephone | 5036826774 |
| Mailing Telephone | 5036826774 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11808 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226005 | James D Wallace | Technician | 67 Don Dale Dr, Foster, WV 25081 | 2020-08-20 |
| 1982173571 | James Preston Wallace II | Clinic/Center | 6234 Castlegate Dr W Apt 8112, Castle Rock, CO 80108-8655 | 2018-11-13 |
| 1356686877 | James Steven Wallace | Physical Therapy Assistant | 449 Main St Apt 131, Anderson, IN 46016-1186 | 2012-12-10 |
| 1033400999 | James Wallace | Durable Medical Equipment & Medical Supplies | 593 Bramlett Way, Powder Springs, GA 30127 | 2011-04-27 |
| 1992023212 | James Joseph Wallace | Specialist | 154 Sugar Cane Dr, Hartwell, GA 30643-8120 | 2010-05-11 |
| 1538338413 | James Christopher Wallace | Military Health Care Provider | Uss Ross, Ddg 71, Fpo, AE 09586-1288 | 2008-02-26 |
| 1568664274 | James Christopher Wallace | Emergency Medical Technician, Basic | Cgc Chase (whec-718) Fpo Ap 96662-3932 32nd St, San Diego, CA 92106 | 2007-06-04 |
| 1760683924 | James G Wallace Jr. | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2007-05-29 |
| 1922143882 | James B Wallace Jr. | Dentist | 6618 Fm 2100, Crosby, TX 77532 | 2007-02-20 |
| 1487744751 | James Thomas Wallace | Chiropractor | 1190 Cross St Se, Salem, OR 97302-2924 | 2006-10-14 |
| Street Address |
29650 SW COURTSIDE DR #14 |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-7482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811401987 | Virginia Marie Karr | Massage Therapist | 8855 Sw Holly Ln Ste 106, Wilsonville, OR 97070-8792 | 2017-11-27 |
| 1467836353 | Chrystopher Holland | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2015-07-10 |
| 1700217825 | Beatrice Angelina Rebullosa | Massage Therapist | 8550 Sw Ash Meadows Rd Apt 425, Wilsonville, OR 97070-4027 | 2013-11-30 |
| 1538419866 | Danna Lynn Hartung | Massage Therapist | 29292 Sw Town Center Loop E Ste B, Wilsonville, OR 97070-9491 | 2012-09-13 |
| 1447500855 | Jenae Michelle Summerour | Massage Therapist | 30789 Sw Boones Ferry Rd Ste P, Wilsonville, OR 97070-7842 | 2012-09-12 |
| 1770839581 | Kala Rajelle Drake | Massage Therapist | 30050 Sw Town Center Loop W, Wilsonville, OR 97070-7596 | 2012-07-30 |
| 1700144888 | Connie Michael | Massage Therapist | 8695 Sw Jack Burns Blvd, Suite E, Wilsonville, OR 97070 | 2012-04-26 |
| 1619248218 | Kathryn Mary Overby | Massage Therapist | 29781 Sw Town Center Loop W, Wilsonville, OR 97070-8806 | 2012-01-13 |
| 1760760532 | Medical Massage N.w. L.l.c | Massage Therapist | 8655 Sw Citizens Dr, Suite 206, Wilsonville, OR 97070-7475 | 2011-07-28 |
| 1790090512 | Theresa Corina Solis | Massage Therapist | 11490 Sw Tooze Rd, Wilsonville, OR 97070-9519 | 2010-08-17 |
| Find all providers in WILSONVILLE | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.