Individual
MS. MICHELLE RENEE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4425 SW CORBETT AVE, CORBETT HILL WELLNESS CENTER, PORTLAND, OR 97239
(503) 225-9033
(503) 225-9039
Mailing address
1030 COLUMBIA AVE, GLADSTONE, OR 97027
(503) 722-9760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7699
OR
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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