Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKELIA WALLACE, MT-BC
Active Sole ProprietorMIKELIA WALLACE, MT-BC is a Music Therapist healthcare provider located in PORTLAND, Oregon. NPI 1497469597 is currently active in the NPPES registry. Verify at CMS.
Music Therapist · PORTLAND, OR
Registration Details
- NPI Number
- 1497469597
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2023 (3.5480216177886 yrs)
- Last Updated
- Jan 12, 2023
- License
-
16398
- Sole Proprietor
- Yes
Practice Information
- Address
-
12608 SE ALDER ST APT 60PORTLAND, OR, 972331688Browse OR providers · Browse ZIP 97233
- Phone
- 3523035352
- Primary Specialty
-
Music Therapist
225A00000X
Other Music Therapist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH L. ROUSSEAU | MA, MT-BC, QMHP | 1538344460 |
| MS. KRISTIN MAYA STORY | MS, MT-BC | 1437395068 |
| NANCY BAIR | MT-BC | 1447482013 |
| JULIE ANN IDE | — | 1215269691 |
| YUKIKO VOSSEN | — | 1770802670 |
| MS. EMILY D MURER | MS, MT-BC | 1023398260 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.