Individual
MR. JOSHUA LANCE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5010 SE 41ST AVE APT 106, PORTLAND, OR 97202-4278
(360) 842-6195
Mailing address
5010 SE 41ST AVE APT 106, PORTLAND, OR 97202-4278
(360) 842-6195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28426
OR
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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