NPI 1295340057 · live from the CMS NPI Registry
Shane Dylan Adair, LMT
Massage Therapist in Portland, OR. National Provider Identifier 1295340057, active.
NPI record
| NPI | 1295340057 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2934 Se Stephens St, Portland, OR 97214 |
| Practice phone | 702-721-5357 |
| Enumerated | September 9, 2020 |
| Last updated | September 9, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 23923 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.