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LAURIE SHEPARD-GLENN LMT
NPI 1114215373
Massage Therapist in Portland, OR

Active since July 20, 2011
0110 SW BANCROFT ST, PORTLAND, OR 97239(503) 358-4383 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurie Shepard-glenn Lmt NPPES

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

LAURIE SHEPARD-GLENN LMT (NPI 1114215373) is an individual massage therapist in Portland, Oregon, licensed in Oregon (6093) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1114215373
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLAURIE SHEPARD-GLENNCredential: LMT
Location Address0110 SW BANCROFT STPortland, OR 97239-4062
Mailing Address0110 Sw Bancroft StPortland, OR 97239-4062 · (503) 358-4383
Phone(503) 358-4383
Sole ProprietorYes
Enumeration DateJuly 20, 2011
✔ NPI 1114215373 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 · 6093
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.
0110 SW BANCROFT ST, Portland, OR 97239
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Other Providers at the Same Location NPPES

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

ASHLEY CHEN L.AC
Acupuncturist
0110 SW BANCROFT ST
PORTLAND, OR 97239
Multnomah County (503) 308-1254

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 Laurie Shepard-glenn's NPI number?

The NPI number for Laurie Shepard-glenn is 1114215373. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Laurie Shepard-glenn located?

Laurie Shepard-glenn practices at 0110 SW Bancroft St, Portland, OR 97239. The listed phone number is (503) 358-4383.

What is Laurie Shepard-glenn'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 Laurie Shepard-glenn was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.