JASON JOHNSON, MASSAGE THERAPIST

Contractor

Active Individual
NPI: 1093950057

Practice Address

11120 NE HALSEY ST
Portland, OR 97220

Phone: (503) 252-5097

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 12553 (OR)

Frequently Asked Questions

NPI 1093950057 is the National Provider Identifier for JASON JOHNSON, MASSAGE THERAPIST, a Contractor provider located in Portland, OR. This NPI was enumerated on December 4, 2008.
JASON JOHNSON, MASSAGE THERAPIST practices at 11120 NE HALSEY ST, Portland, OR 97220.

Quick Facts

NPI
1093950057
Type
Individual
Enumerated
Dec 4, 2008
Last Updated
Dec 4, 2008

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