Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851807366 Individual Practitioner Female Practitioner

Jessica Lynn Wallace , LMT

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Jessica Wallace, LMT is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 1217 NE BURNSIDE RD STE 701D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1217 Ne Burnside Rd Ste 701d

Gresham, OR 970305770

Telephone 5036658959
Associated Practice Facility / Clinic
🏢 Kathleen Kline, Lmt Facility NPI 1992159610

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
132 Specialists

Practicing in Gresham, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-03-24
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 23622

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kelley Schmautz , LMT

Massage Therapist

NPI 1023403649

Licensed Massage Therapist

Gwendolyn Kochan , LMT

Massage Therapist

NPI 1336712637

Licensed Massage Therapist

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated March 24, 2025

Recorded as JESSICA WALLACE, LMT

NPI Profile Active December 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2017

Registered at 1217 NE BURNSIDE RD STE 701D, GRESHAM, OR 970305770 (Tel: 5036658959)

📍
Updated Business Mailing Address December 19, 2017

Registered at 1217 NE BURNSIDE RD STE 701D, GRESHAM, OR 970305770 (Tel: 5036658959)

👤
Provider Name / Credentials Updated December 19, 2017

Recorded as JESSICA WOJTAS, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2017

Massage Therapist (License #23622 in OR)

🟢
Initial NPI Registration & Enumeration December 19, 2017

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: 1851807366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2017
Last Update: March 24, 2025
Sole Proprietor: No

Mailing Address

1217 Ne Burnside Rd Ste 701d

Gresham, OR 970305770

Phone: 5036658959

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.