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Active NPI 1154775799 Individual Practitioner Male Practitioner

Shane Kooken-Hover , LMT

Massage Therapist • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Shane Kooken-Hover, LMT is a registered healthcare professional specializing in Massage Therapist in Tigard, OR. Practice services are available at 12700 SW NORTH DAKOTA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12700 Sw North Dakota St
Ste 180

Tigard, OR 972230802

Telephone 5037168281
Fax 5037168783
Associated Practice Facility / Clinic
🏢 Straight Up Chiropractic Facility NPI 1932579661

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
78 Specialists

Practicing in Tigard, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 19795

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Myli Nagode , LMT

Massage Therapist

NPI 1063244523

Licensed Massage Therapist

NPI 1104673425

Doctor of Chiropractic

Makiya White , LMT

Massage Therapist

NPI 1134838527

Licensed Massage Therapist

Alexandra Devivo

Massage Therapist

NPI 1295251080
Sydnee Topps

Massage Therapist

NPI 1336794718
Lynsie Bean , LMT

Massage Therapist

NPI 1366179723

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2016

Registered at 12700 SW NORTH DAKOTA ST, STE 180, TIGARD, OR 972230802 (Tel: 5037168281)

📍
Updated Business Mailing Address April 20, 2016

Registered at 11795 SW TUALATIN RD, #67, TUALATIN, OR 970627444 (Tel: 5034221865)

👤
Provider Name / Credentials Updated April 20, 2016

Recorded as SHANE KOOKEN-HOVER, L.M.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2016

Massage Therapist (License #19795 in OR)

🟢
Initial NPI Registration & Enumeration April 20, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154775799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2016
Last Update: April 20, 2016
Sole Proprietor: No

Mailing Address

11795 Sw Tualatin Rd, #67

Tualatin, OR 970627444

Phone: 5034221865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.