Shane Stark, MEDICALMASSAGELMT
Shane Stark, MEDICALMASSAGELMT is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
6700 E Burnside StPortland, OR 97215-1051
Phone: (503) 627-7243
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 19432 (OR) |
|---|
Record details
| NPI number | 1205593191 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MEDICALMASSAGELMT |
| Sole proprietor | No |
| NPI enumerated | November 26, 2021 |
| Last updated in NPPES | November 26, 2021 |
| Certification date | November 26, 2021 |
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