DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON RAPHAEL HALLBERG, LMT

Active Sole Proprietor

SHANNON RAPHAEL HALLBERG, LMT is a Massage Therapist healthcare provider located in FOREST GROVE, Oregon. NPI 1477891323 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · FOREST GROVE, OR

Registration Details

NPI Number
1477891323
Provider Type
Individual
Gender
Female
NPI Issued
Jan 28, 2013 (13.532243147305 yrs)
Last Updated
Jan 27, 2017
License
13445 (OR)
Sole Proprietor
Yes

Practice Information

Address
2318 PACIFIC AVE
FOREST GROVE, OR, 971162450
Browse OR providers · Browse ZIP 97116
Phone
5038806671
Fax
5036472364
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in FOREST GROVE, OR

Name Credential NPI
MRS. KAREN ANNE SOTTO L.M.T. 1275674210
MRS. LOIS ELIZABETH YEVDALCIA DIMICK LMT 1629102454
TONNIE IRENE WHITE LMT 1518088012
THERON A. CHANDLER LMT 1063666451
MR. ERIC BRIAN WOODS L.M.T. 1194964627
MR. JEREMIAH JOSEPH KLINGLER LMT 1356638712
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.