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Shamila Renee Salem, LMT
Massage Therapist in Portland, Oregon
NPI 1871197079

Shamila Renee Salem is a Massage Therapist based in Portland, OR. Shamila Renee Salem practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Shamila Renee Salem is 1871197079 and holds a License No. 24114 (Oregon).

The current practice location address for Shamila Renee Salem is 4004 Se Woodstock Blvd, Portland, OR and can be reached out via phone at 503-777-0444 and via fax at 503-777-0445.

Location: 4004 Se Woodstock Blvd, Portland, OR, 97202-7662
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Provider Profile Details
NPI Number
1871197079
Provider Name
Shamila Renee Salem
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
4004 Se Woodstock Blvd, Portland, OR, 97202-7662
Phone Number
503-777-0444
Fax Number
503-777-0445
Provider Enumeration Date
11/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AE501K8R 05 OR
institution
Provider Business Practice Location Address Details
Address
4004 Se Woodstock Blvd
City
State
Zip
97202-7662
Phone Number
503-777-0444
Fax Number
503-777-0445
person
Provider Business Mailing Address Details
Address
4004 Se Woodstock Blvd
City
State
Zip
97202-7662
Phone Number
503-777-0444
Fax Number
503-777-0445
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
24114 (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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