Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Kooken-Hover, LMT

Individual provider Massage Therapist · NPI 1154775799

Shane Kooken-Hover, LMT is a Massage Therapist in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802
Phone: (503) 716-8281
Fax: (503) 716-8783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 19795 (OR)

Record details

NPI number1154775799
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedApril 20, 2016
Last updated in NPPESApril 20, 2016

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