Shane Stark, MEDICAL MASSAGE LMT
NPI 1205593191 · Massage Therapist · Portland, OR
Shane Stark, MEDICAL MASSAGE LMT is a Massage Therapist provider in Portland, OR (NPI 1205593191).
Provider details
- NPI number
- 1205593191
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MEDICAL MASSAGE LMT
- Sex
- Male
- Sole proprietor
- No
- License
- 19432 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-26
- Last updated
- 2021-11-26
- Certified
- 2021-11-26
Frequently asked questions
- What is Shane Stark's NPI number?
- Shane Stark's National Provider Identifier (NPI) is 1205593191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Stark's specialty?
- Shane Stark is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shane Stark located?
- Shane Stark's practice location on file with NPPES is 6700 E Burnside St, Portland, OR 97215-1051.
- What is Shane Stark's phone number?
- The practice phone number listed in the NPPES registry for Shane Stark is (503) 627-7243.
- Is Shane Stark's NPI active?
- Yes — Shane Stark's NPI (1205593191) is active in the NPPES registry as of the last update on 2021-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.