person
Laurie Shepard-glenn, LMT
Massage Therapist in Portland, Oregon
NPI 1114215373

Laurie Shepard-glenn is a Massage Therapist based in Portland, OR. Laurie Shepard-glenn practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Laurie Shepard-glenn is 1114215373 and holds a License No. 6093 (Oregon).

The current practice location address for Laurie Shepard-glenn is 0110 Sw Bancroft St, Portland, OR and can be reached out via phone at 503-358-4383.

Location: 0110 Sw Bancroft St, Portland, OR, 97239-4062
person
Provider Profile Details
NPI Number
1114215373
Provider Name
Laurie Shepard-glenn
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
0110 Sw Bancroft St, Portland, OR, 97239-4062
Phone Number
503-358-4383
Fax Number
Provider Enumeration Date
07/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
0110 Sw Bancroft St
City
State
Zip
97239-4062
Phone Number
503-358-4383
Fax Number
person
Provider Business Mailing Address Details
Address
0110 Sw Bancroft St
City
State
Zip
97239-4062
Phone Number
503-358-4383
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
6093 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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