person
Mrs. Jamie Dawn Shackelford, LMT
Massage Therapist in Tigard, Oregon
NPI 1689791394

Jamie Dawn Shackelford is a Massage Therapist based in Portland, OR. Jamie Dawn Shackelford practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Jamie Dawn Shackelford is 1689791394 and holds a License No. 11791 (Oregon).

The current practice location address for Jamie Dawn Shackelford is 13599 Sw Pacific Hwy Ste G, Tigard, OR and can be reached out via phone at 503-481-5832 and via fax at 503-481-5832.

Location: 13599 Sw Pacific Hwy Ste G, Tigard, OR, 59102-6257
person
Provider Profile Details
NPI Number
1689791394
Provider Name
Jamie Dawn Shackelford
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
13599 Sw Pacific Hwy Ste G, Tigard, OR, 59102-6257
Phone Number
503-481-5832
Fax Number
503-481-5832
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13599 Sw Pacific Hwy Ste G
City
State
Zip
97223-4801
Phone Number
503-481-5832
Fax Number
503-481-5832
person
Provider Business Mailing Address Details
Address
13599 Sw Pacific Hwy Ste G
City
State
Zip
97223-4801
Phone Number
503-481-5832
Fax Number
503-481-5832
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
11791 (Oregon)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
11791 (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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