Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497091805 Individual Practitioner Female Practitioner

Michelle Lynn Wallace , LMT

Specialist • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Michelle Wallace, LMT is a registered healthcare professional specializing in Specialist in Eugene, OR. Practice services are available at 508 BLAIR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

508 Blair Blvd

Eugene, OR 974024630

Telephone 5415430290

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.6 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
95 Specialists

Practicing in Eugene, OR (1153 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 12250

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2012

Registered at 508 BLAIR BLVD, EUGENE, OR 974024630 (Tel: 5415430290)

📍
Updated Business Mailing Address December 13, 2012

Registered at 3720 STEWART RD, EUGENE, OR 974025405 (Tel: 5415430290)

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Provider Name / Credentials Updated December 13, 2012

Recorded as MICHELLE WALLACE, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2012

Specialist (License #12250 in OR)

🟢
Initial NPI Registration & Enumeration December 13, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497091805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2012
Last Update: December 13, 2012
Sole Proprietor: Yes

Mailing Address

3720 Stewart Rd

Eugene, OR 974025405

Phone: 5415430290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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