Hallberg, Shannon Raphael

Hallberg, Shannon Raphael is an sole proprietor health care provider with primary practice located at 2318 Pacific Ave , Forest Grove OR 97116-2450. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Hallberg, Shannon Raphael can be contacted via phone (503) 880-6671.

Contact Information

Primary practice address
2318 Pacific Ave Forest Grove OR 97116-2450
Phone: (503) 880-6671
Fax: (503) 647-2364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 13445 Oregon

Profile Details

NPI number 1477891323
LBN Legal business name Hallberg, Shannon Raphael
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2013
Last updated Jan 27th, 2017 - about 9 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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