Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE STARK, MEDICAL MASSAGE LMT
ActiveSHANE STARK, MEDICAL MASSAGE LMT is a Massage Therapist healthcare provider located in PORTLAND, Oregon. NPI 1205593191 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · PORTLAND, OR
Registration Details
- NPI Number
- 1205593191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2021 (4.7416374853466 yrs)
- Last Updated
- Nov 26, 2021
- License
-
19432 (OR)
Practice Information
- Address
-
6700 E BURNSIDE STPORTLAND, OR, 972151051Browse OR providers · Browse ZIP 97215
- Phone
- 5036277243
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY GENE IRVING | DC, LMT | 1689655458 |
| MRS. LEAH JOY BOWDER | — | 1275508780 |
| JOANNA L MCCLISH | ATC, LMT | 1285690396 |
| MR. PABLO CESAR COHEN | LMT | 1225088263 |
| DIANNE L PERNETTI | LMT | 1639129315 |
| MR. MICHAEL ALAN BECKLUND | LMT | 1083667760 |
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.