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Shannon Raphael Hallberg, LMT
Massage Therapist in Forest Grove, Oregon
NPI 1477891323

Shannon Raphael Hallberg is a Massage Therapist based in North Plains, OR. Shannon Raphael Hallberg practices in Forest Grove, OR and has the professional credentials of LMT. The NPI Number for Shannon Raphael Hallberg is 1477891323 and holds a License No. 13445 (Oregon).

The current practice location address for Shannon Raphael Hallberg is 2318 Pacific Ave, Forest Grove, OR and can be reached out via phone at 503-880-6671 and via fax at 503-647-2364.

Location: 2318 Pacific Ave, Forest Grove, OR, 97133-1505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477891323
Provider Name
Shannon Raphael Hallberg
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2318 Pacific Ave, Forest Grove, OR, 97133-1505
Phone Number
503-880-6671
Fax Number
503-647-2364
Provider Enumeration Date
01/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2318 Pacific Ave
City
Forest Grove
State
Oregon
Zip
97116-2450
Phone Number
503-880-6671
Fax Number
503-647-2364
person
Provider Business Mailing Address Details
Address
2318 Pacific Ave
City
Forest Grove
State
Oregon
Zip
97116-2450
Phone Number
503-880-6671
Fax Number
503-647-2364
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
13445 (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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