SHELBY FAGAN (NPI# 1255529053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255529053 |
| Entity Type | Individual |
| Full Name | SHELBY FAGAN |
| Credential | LMT |
| Practice Address |
5319 Sw Westgate Dr Suite 148 Portland OR 97221-2411 |
| Practice Telephone | 5033849105 |
| Mailing Telephone | 5033849105 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 6658 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841850716 | Shelby Lee Fagan | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2019-06-13 |
| Street Address |
5319 SW WESTGATE DR SUITE 148 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97221-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417923939 | Larry S Hart | Psychologist | 5319 Sw Westgate Dr, #147, Portland, OR 97221-2430 | 2006-02-24 |
| 1043857444 | Tara Jessie Palansky | Marriage & Family Therapist | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2019-12-04 |
| 1376100511 | Sarah Elizabeth Rosemary Holmes | Speech-Language Pathologist | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2019-05-23 |
| 1164944922 | Caroline Susannah Salter | Speech-Language Pathologist | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2017-07-13 |
| 1902289929 | Anna Waters | Speech-Language Pathologist | 5319 Sw Westgate Dr, Ste 120, Portland, OR 97221-2313 | 2015-07-08 |
| 1417348178 | Select Home Care Portland, LLC | In Home Supportive Care | 5319 Sw Westgate Dr, Suite #240, Portland, OR 97221-2411 | 2015-02-16 |
| 1932509239 | Lisa Sloan Strom | Counselor | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2014-08-25 |
| 1376955583 | The Hope Connection LLC | Marriage & Family Therapist | 5319 Sw Westgate Dr, Suite 113, Portland, OR 97221-2411 | 2014-05-21 |
| 1760821128 | Jennifer Besser | Counselor | 5319 Sw Westgate Dr, Suite117, Portland, OR 97221-2411 | 2013-06-19 |
| 1205274156 | Elizabeth Marie Gregory | Counselor | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2013-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1275071599 | Kayla Hoskins | Social Worker | 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 | 2017-02-07 |
| 1467821520 | Tam Nguyen | Pharmacist | 5431 Sw Beaverton Hillsdale, Portland, OR 97221 | 2015-09-18 |
| 1124494786 | Laine Towell | Psychologist | 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 | 2015-08-18 |
| 1376936633 | Patricia A. Lolich-beyer | Counselor | 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 | 2015-03-11 |
| 1134468374 | Alexandra Scamarone | Acupuncturist | 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 | 2013-02-07 |
| 1508118316 | Nichole C. Marks | Speech-Language Pathologist | 6125 Sw Boundary, Portland, OR 97221 | 2012-10-04 |
| 1649529538 | Navkiran Kaur Singh | Counselor | 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 | 2012-09-06 |
| 1306124276 | Alyssa C. Brin | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 | 2011-07-26 |
| Find all providers in zip 97221 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| 1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
| 1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.