Michelle Renee Shields, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7699 Issued in OR

Practice address

4425 SW Corbett Ave
Corbett Hill Wellness Center
Portland, OR 97239

Phone

(503) 225-9033

Fax

(503) 225-9039

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Michelle R Robles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285794271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 COLUMBIA AVE",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "97027",
            "telephone_number": "503-722-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 SW CORBETT AVE",
            "address_2": "CORBETT HILL WELLNESS CENTER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-225-9033",
            "fax_number": "503-225-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ROBLES",
            "middle_name": "R",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly A Shields, LPC
• Killian Drake Shields, QMHP
• Kimberly Shields, LAC
• Kimberly A Shields, DO
• Michael Austin Shields
• Jenna Marie Shiferaw, RN
• Amy Rose Shiffer, LMT
• Shift Consultation LLC
• Carson Alexander Shigo
• Amber Shih, CSWA

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.