- Practice location
- 2934 SE Stephens St, Portland, OR 97214-4960
- Phone
- 702-721-5357
- Fax
- —
- Last updated
- September 9, 2020
Shane Dylan Adair is a Massage Therapist based in Portland, OR. Shane Dylan Adair practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Shane Dylan Adair is 1295340057 and holds a License No. 23923 (OR). The current practice location address for Shane Dylan Adair is 2934 SE Stephens St, Portland, OR 97214-4960 and can be reached out via phone at 702-721-5357.
Provider Profile Details
- NPI Number
- 1295340057
- Provider Name
- Shane Dylan Adair
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2934 SE Stephens St, Portland, OR 97214-4960
- Phone Number
- 702-721-5357
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 9, 2020
- Last Update Date
- September 9, 2020
- Certification Date
- September 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2934 SE Stephens St
Portland, OR 97214-4960 - City
- Portland
- State
- Oregon
- Zip
- 97214-4960
- Phone Number
- 702-721-5357
Provider Business Mailing Address Details
- Address
- 2934 SE Stephens St
Portland, OR 97214-4960 - City
- Portland
- State
- OR
- Zip
- 97214-4960
- Phone Number
- 702-721-5357
License Information
- License Number
- 23923
- License State
- OR
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shane D Adair, LMT?
The NPI number of Shane D Adair, LMT is 1295340057. It was assigned on September 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Shane D Adair, LMT?
Shane D Adair, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 23923.
Where does Shane D Adair, LMT practice?
The practice location is 2934 SE Stephens St, Portland, OR 97214-4960. The office can be reached at 702-721-5357 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295340057 directly on the NPPES registry website.