Individual
AMBER WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 5TH ST, HOOD RIVER, OR 97031-2058
(541) 490-1444
Mailing address
1315 OAK ST APT 7, HOOD RIVER, OR 97031-1403
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023090
OR
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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