Shane Kooken-Hover, L.M.T.

NPI #1154775799 in Tigard, Oregon

Provider Information

NPI Number: 1154775799
Entity Type: Individual
Name: Shane Kooken-Hover, L.M.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Apr 20, 2016
Last Updated: Apr 20, 2016

Practice Location

Address: 12700 SW NORTH DAKOTA ST
Address 2: STE 180
City: Tigard
State: Oregon
ZIP Code: 97223-0802
Phone: (503) 716-8281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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