NPI 1033836150

Brodie Nicholas Shinn, LMT

Practitioner Massage Therapist Hillsboro, OR

Practice location

Address: 2167 NW 185th Ave, Hillsboro, OR 97124-7074
Phone: (503) 420-6467
Mailing address: 12224 NW Barnes Rd APT 107, Portland, OR 97229-5956

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 25773 (OR)

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Registry record

NPI: 1033836150
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2022
Record last updated: 20 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.