Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922238773 Individual Practitioner Female Practitioner

Marissa Miller Shaylor , LMT

Specialist • Tualatin, OR

Professional Overview & Biography Verified Profile Summary

Marissa Shaylor, LMT is a registered healthcare professional specializing in Specialist in Tualatin, OR. Practice services are available at 19365 SW 65TH AVE STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19365 Sw 65th Ave Ste 104

Tualatin, OR 970629196

Telephone 5034865199
Fax 5034865190

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tualatin, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Tualatin, OR (1153 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 9076006

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
9076006 (OR)

Practice Associates & Co-Workers

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

11 Associated Practitioners
Courtney Edwards , LMT

Massage Therapist

NPI 1013291988

Licensed Massage Therapist

NPI 1104088087

Doctor of Chiropractic

Teresa Freckleton

Massage Therapist

NPI 1184501645
NPI 1225291164

Doctor of Chiropractic

NPI 1285007005

Doctor of Chiropractic

NPI 1326562281

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2013

Registered at 19365 SW 65TH AVE STE 104, TUALATIN, OR 970629196 (Tel: 5034865199)

📍
Updated Business Mailing Address August 13, 2013

Registered at 19365 SW 65TH AVE STE 104, TUALATIN, OR 970629196 (Tel: 5034865199)

👤
Provider Name / Credentials Updated August 13, 2013

Recorded as MARISSA SHAYLOR, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2013

Specialist (License #9076006 in OR)

🟢
Initial NPI Registration & Enumeration July 14, 2009

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: 1922238773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2009
Last Update: August 13, 2013
Sole Proprietor: No

Mailing Address

19365 Sw 65th Ave Ste 104

Tualatin, OR 970629196

Phone: 5034865199

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.