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Miss Lisa Shorett, LMT
Massage Therapist in Portland, Oregon
NPI 1992195796

Lisa Shorett is a Massage Therapist based in Milwaukie, OR. Lisa Shorett practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Lisa Shorett is 1992195796 and holds a License No. 21048 (Oregon).

The current practice location address for Lisa Shorett is 1235 Se Division St Ste 117, Portland, OR and can be reached out via phone at 503-770-0278.

Location: 1235 Se Division St Ste 117, Portland, OR, 97222-6898
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Provider Profile Details
NPI Number
1992195796
Provider Name
Lisa Shorett
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1235 Se Division St Ste 117, Portland, OR, 97222-6898
Phone Number
503-770-0278
Fax Number
Provider Enumeration Date
01/31/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21048 01 OR STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1235 Se Division St Ste 117
City
State
Zip
97202-1085
Phone Number
503-770-0278
Fax Number
person
Provider Business Mailing Address Details
Address
1235 Se Division St Ste 117
City
State
Zip
97202-1085
Phone Number
503-770-0278
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
21048 (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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