Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Kooken-Hover, LMT

Individual provider Massage Therapist · NPI 1154775799

Shane Kooken-Hover, LMT is a Massage Therapist in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802
Phone: (503) 716-8281
Fax: (503) 716-8783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 19795 (OR)

Record details

NPI number1154775799
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedApril 20, 2016
Last updated in NPPESApril 20, 2016
Mailing address11795 Sw Tualatin Rd, 67, Tualatin, OR 97062-7444

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