Individual provider · Type 1 NPI

Michelle Renee Shields, LMT

Massage Therapist · Portland, OR

NPI number 1285794271 Active

Practice location

4425 SW Corbett Ave, Corbett Hill Wellness Center
Portland, OR 97239

Fax (503) 225-9039

Mailing address

1030 Columbia Ave
Gladstone, OR 97027

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7699 (OR)

Massage Therapist: 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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About NPI 1285794271

Michelle Renee Shields, LMT's National Provider Identifier is 1285794271, issued on Dec 11, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.