Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WONG, LMT
Active Sole ProprietorSHANNON WONG, LMT is a Contractor healthcare provider located in PORTLAND, Maine. NPI 1790164648 is currently active in the NPPES registry. Verify at CMS.
Contractor · PORTLAND, ME
Registration Details
- NPI Number
- 1790164648
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2015 (11.186844963606 yrs)
- Last Updated
- May 26, 2015
- License
-
MT4634 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
449 FOREST AVEPORTLAND, ME, 041012029Browse ME providers · Browse ZIP 04101
- Phone
- 2073294386
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| MICHAEL L BUZZELL | LMT | 1023147733 |
| MR. GUY H MCCHESNEY | — | 1588826713 |
| BRIANA LEE CRUSAN | LMT | 1801022553 |
| RICKIE MACKENZIE BOGLE | LMT | 1912135534 |
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.