Individual provider · NPI-1

Shannon Leigh Adams, LMT

Mechanotherapist · Portland, OR

NPI number1275859829
StatusActive
Last updated in NPPESApr 7, 2010

Details

NPI
1275859829
Entity type
Individual (NPI-1)
Name
Shannon Leigh Adams
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 7, 2010
Last updated
Apr 7, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172M00000X Mechanotherapist15696ORYes

Practice location

4475 Sw Scholls Ferry Rd
#201
Portland, OR 97225-1955

Phone 503-970-4590

Mailing address

4475 Sw Scholls Ferry Rd
#201
Portland, OR 97225-1955

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