SHELLY STEPHENSON LMT
NPI 1063889418
Massage Therapist in Portland, OR

Active since September 01, 2015
975 SE SANDY BLVD, SUITE #108, PORTLAND, OR 97214(503) 780-2621 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelly Stephenson Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY STEPHENSON LMT (NPI 1063889418) is an individual massage therapist in Portland, Oregon, licensed in Oregon (15516) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1063889418
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSHELLY STEPHENSONCredential: LMT
Location Address975 SE SANDY BLVD, SUITE #108Portland, OR 97214-1308
Mailing Address975 Se Sandy Blvd, Suite #108Portland, OR 97214-1308 · (503) 780-2621
Sole ProprietorYes
Enumeration DateSeptember 1, 2015
NPI 1063889418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in OR · 15516
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

975 SE SANDY BLVD, Portland, OR 97214

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
975 SE SANDY BLVD
PORTLAND, OR 97214
Social Worker
975 SE SANDY BLVD
PORTLAND, OR 97214
Social Worker
975 SE SANDY BLVD
PORTLAND, OR 97214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Stephenson's NPI number?

The NPI number for Shelly Stephenson is 1063889418. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Shelly Stephenson located?

Shelly Stephenson practices at 975 SE Sandy Blvd Suite #108, Portland, OR 97214. The listed phone number is (503) 780-2621.

What is Shelly Stephenson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Shelly Stephenson was last updated on September 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.