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Shannon Elizabeth Balue, LMT
Massage Therapist in Portland, Oregon
NPI 1841636297

Shannon Elizabeth Balue is a Massage Therapist based in Portland, OR. Shannon Elizabeth Balue practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Shannon Elizabeth Balue is 1841636297 and holds a License No. 19720 (Oregon).

The current practice location address for Shannon Elizabeth Balue is 3944 N Mississippi Ave, Portland, OR and can be reached out via phone at 503-517-8222.

Location: 3944 N Mississippi Ave, Portland, OR, 97211-3830
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Provider Profile Details
NPI Number
1841636297
Provider Name
Shannon Elizabeth Balue
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3944 N Mississippi Ave, Portland, OR, 97211-3830
Phone Number
503-517-8222
Fax Number
Provider Enumeration Date
05/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3944 N Mississippi Ave
City
State
Zip
97227-1163
Phone Number
503-517-8222
Fax Number
person
Provider Business Mailing Address Details
Address
3944 N Mississippi Ave
City
State
Zip
97227-1163
Phone Number
503-517-8222
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
19720 (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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