Individual provider · Type 1 NPI

Shannon R. Lord, LMT

Massage Therapist · Portland, OR

NPI number 1689486292 Active

Practice location

2031 SE Belmont St
Portland, OR 97214-2812

Fax (971) 512-9545

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-24918 (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 1689486292

Shannon R. Lord, LMT's National Provider Identifier is 1689486292, issued on Jan 21, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 21, 2025.