Shannon Raphael Hallberg, LMT

NPI #1477891323 in Forest Grove, Oregon

Provider Information

NPI Number
1477891323
Entity Type
Individual
Name
Shannon Raphael Hallberg, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jan 28, 2013
Last Updated
Jan 27, 2017

Practice Location

Address
2318 PACIFIC AVE
State
Oregon
ZIP Code
97116-2450
Phone
(503) 880-6671

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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