Jackie Johnson - Portland, OR

Jackie Johnson

Massage Therapist in Portland, Oregon

NPI 1861940108

Jackie Johnson is a Massage Therapist based in Portland, OR. Jackie Johnson practices in Portland, OR. The NPI Number for Jackie Johnson is 1861940108 and holds a License No. 22647 (Oregon).

The current practice location address for Jackie Johnson is 12923 Nw Cornell Rd Ste 201, Portland, OR and can be reached out via phone at 503-646-3393 and via fax at 503-672-7042.

Location: 12923 Nw Cornell Rd Ste 201, Portland, OR, 97229-5834

NPI Number

1861940108

Provider Name

Jackie Johnson

Credential

Provider Entity Type

Individual

Gender

Female

Address

12923 Nw Cornell Rd Ste 201, Portland, OR, 97229-5834

Phone Number

503-646-3393

Fax Number

503-672-7042

Provider Enumeration Date

09/15/2016

Last Update Date

03/09/2024

Address

12923 Nw Cornell Rd Ste 201

City

Portland

State

Oregon

Zip

97229-5834

Phone Number

503-646-3393

Fax Number

503-672-7042

Address

12923 Nw Cornell Rd Ste 201

City

Portland

State

Oregon

Zip

97229-5834

Phone Number

503-646-3393

Fax Number

503-672-7042

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

22647 (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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