Shane D Adair, LMT
Massage Therapist in Portland, Oregon
1295340057- Practice location
- 2934 SE Stephens St, Portland, OR 97214-4960
- Phone
- 702-721-5357
- Fax
- —
- Last updated
- September 9, 2020
Shane D Adair, LMT is a Massage Therapist based in Portland, OR. Shane D Adair, LMT holds the professional credentials of LMT. The NPI number for Shane D Adair, LMT is 1295340057 and holds license No. 23923 (OR). The current practice location address is 2934 SE Stephens St, Portland, OR 97214-4960 and the office can be reached by phone at 702-721-5357. The NPI was assigned on September 9, 2020 and the record was last updated in NPPES on September 9, 2020.
●Provider Profile Details
- NPI Number
- 1295340057
- Provider Name
- Shane Dylan Adair
- Credential
- LMT
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Enumeration Date
- September 9, 2020
- Last Update Date
- September 9, 2020
- Certification Date
- September 9, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2934 SE Stephens St
Portland, OR 97214-4960 - City
- Portland
- State
- Oregon
- ZIP
- 97214-4960
- Country
- US
- Phone Number
- 702-721-5357
✉Business Mailing Address
- Address
- 2934 SE Stephens St
Portland, OR 97214-4960 - City
- Portland
- State
- OR
- ZIP
- 97214-4960
- Phone Number
- 702-721-5357
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Massage Therapist 193400000X - Single Specialty Group | 225700000X | Yes | 23923 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Shane D Adair, LMT?
The NPI number of Shane D Adair, LMT is 1295340057. It was assigned on September 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Shane D Adair, LMT?
Shane D Adair, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 23923 (OR).
Where does Shane D Adair, LMT practice?
The practice location is 2934 SE Stephens St, Portland, OR 97214-4960. The office can be reached at 702-721-5357 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295340057 directly on the NPPES registry website at npiregistry.cms.hhs.gov.