Shane Kooken-Hover, L.M.T

NPI 1154775799 · on the registry since 2016

Practice

Address: 12700 Sw North Dakota St
Ste 180
Tigard, OR 97223
Phone: (503) 716-8281
Fax: (503) 716-8783
Organisation at this address: Gregory Oltmann Dc Llc
Straight Up Chiropractic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon