Shawna Dana' Allen, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

17788 Issued in OR

Practice address

19365 SW 65TH Ave Ste 104
Tualatin, OR 97062-9196

Phone

(503) 486-5199

Fax

(503) 486-5190

NPI assigned

Apr 24, 2019

Last updated

Apr 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1740844877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE STE 104",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-486-5199",
            "fax_number": "503-486-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE STE 104",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-486-5199",
            "fax_number": "503-486-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SHAWNA",
        "middle_name": "DANA'",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "17788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pscc@performanceandspine.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19365 SW 65th Ave Ste 104",
            "city": "Tualatin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970629196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kehinde Alabi
• Fetheya Alattar
• Alexander C Ching MD PC
• Nikki Alkire, LCSW
• Mark Herbert Allbright, PT
• Gina Renee Allison, MD
• Zubaidah Alrubaye
• American Pain Relief, LLC (American Pain and Spine)
• Deborah Kempe Ames, M.D.
• Amitha Gona M.D LLC (Pioneer Rheumatology)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.