person
Heidi Mae Johnson
Massage Therapist in Portland, Oregon
NPI 1477062883

Heidi Mae Johnson is a Massage Therapist based in Portland, OR. Heidi Mae Johnson practices in Portland, OR. The NPI Number for Heidi Mae Johnson is 1477062883 and holds a License No. 18117 (Oregon).

The current practice location address for Heidi Mae Johnson is 118 N Killingsworth St, Portland, OR and can be reached out via phone at 503-288-4454.

Location: 118 N Killingsworth St, Portland, OR, 97217-6651
person
Provider Profile Details
NPI Number
1477062883
Provider Name
Heidi Mae Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
118 N Killingsworth St, Portland, OR, 97217-6651
Phone Number
503-288-4454
Fax Number
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
118 N Killingsworth St
City
State
Zip
97217-2435
Phone Number
503-288-4454
Fax Number
person
Provider Business Mailing Address Details
Address
118 N Killingsworth St
City
State
Zip
97217-2435
Phone Number
503-288-4454
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
18117 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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