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

Individual provider Massage Therapist · NPI 1306778584

Shannon Denae Traversino, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

7515 N Fenwick Ave
Portland, OR 97217-5513
Phone: (818) 679-4583
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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 24605 (OR)

Record details

NPI number1306778584
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

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