IndividualActive
Fredrick Shipley, LMT
NPI 1205168234 · Contractor · Newberg, OR
Provider details
- NPI number
- 1205168234
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8024 (OR)
Mailing address
21550 Ne Kings Grade
Newberg, OR 97132-6519
Registry dates
- Enumerated
- 2010-02-01
- Last updated
- 2010-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.