Shelby James, LMT
Individual provider Active NPI Massage Therapist · Seaside, OR
NPI 1124564455 · NPPES record last updated Oct 6, 2019
Key facts
- NPI
- 1124564455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 22870 (OR)
- Practice address
- 620 S Holladay Dr Ste 3
Seaside, OR 97138 - Phone
- (503) 738-3343
- NPI assigned
- Jan 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22870 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avista Chiropractic LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 22870 | OR | Yes |
Addresses
Primary practice location
620 S Holladay Dr Ste 3
Seaside, OR 97138
Mailing address
620 S Holladay Dr Ste 3
Seaside, OR 97138-6653
Phone (503) 738-3343
Other practice location 1
1201 SW 12th Ave Ste 600
Portland, OR 97205-2034
Phone (503) 224-2425
Other practice location 2
1201 SW 12th Ave Ste 600
Portland, OR 97205-2034
Phone (503) 224-2425
Other providers in Seaside, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.