Individual
JAMIE TINSLEY-SHANNON ROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1517 NE BROADWAY ST, PORTLAND, OR 97232-1406
(503) 946-8450
Mailing address
1517 NE BROADWAY ST, PORTLAND, OR 97232-1406
(503) 946-8450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28486
OR
Other
Enumeration date
10/16/2024
Last updated
10/23/2025
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