1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Massage Therapist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANNON DENAE TRAVERSINO LMT
NPI 1306778584
Massage Therapist in Portland, OR

Active since June 01, 2026
7515 N FENWICK AVE, PORTLAND, OR 97217(818) 679-4583 Get Directions Write a Review

NPPES record added: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Denae Traversino Lmt NPPES

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

SHANNON DENAE TRAVERSINO LMT (NPI 1306778584) is an individual massage therapist in Portland, Oregon, licensed in Oregon (24605) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1306778584
Entity TypeIndividual
Primary Taxonomy225700000X
Provider Legal NameSHANNON DENAE TRAVERSINOCredential: LMT
Location Address7515 N FENWICK AVEPortland, OR 97217-5513
Mailing Address7515 N Fenwick AvePortland, OR 97217-5513 · (818) 679-4583
Phone(818) 679-4583
Sole ProprietorYes
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1306778584 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 · 24605
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.
7515 N FENWICK AVE, Portland, OR 97217
Open in Google Maps ↗

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 Shannon Traversino's NPI number?

The NPI number for Shannon Traversino is 1306778584. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Where is Shannon Traversino located?

Shannon Traversino practices at 7515 N Fenwick Ave, Portland, OR 97217. The listed phone number is (818) 679-4583.

What is Shannon Traversino'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 Shannon Traversino was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.