Provider Demographics
NPI:1538498597
Name:NEUMANN, SHEILA A (LMT)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:A
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8820 N IVANHOE ST
Mailing Address - Street 2:2
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-4856
Mailing Address - Country:US
Mailing Address - Phone:503-568-9663
Mailing Address - Fax:
Practice Address - Street 1:8638 N LOMBARD ST
Practice Address - Street 2:7
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-3731
Practice Address - Country:US
Practice Address - Phone:503-568-9663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14435225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist