Shackelford, Jamie Dawn

Shackelford, Jamie Dawn is an sole proprietor health care provider with primary practice located at 13599 Sw Pacific Hwy Ste G , Tigard OR 97223-4801. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Shackelford, Jamie Dawn can be contacted via phone (503) 481-5832.

Contact Information

Primary practice address
13599 Sw Pacific Hwy Ste G Tigard OR 97223-4801
Phone: (503) 481-5832
Fax: (503) 481-5832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 11791 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 11791 Oregon

Profile Details

NPI number 1689791394
LBN Legal business name Shackelford, Jamie Dawn
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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