Individual provider · Type 1 NPI

Bohannon Faraon

Massage Therapist · Keizer, OR

NPI number 1154274199 Active

Practice location

156 Chemawa Rd N
Keizer, OR 97303-5356

Call (503) 999-5960 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27265 (OR)

Massage Therapist: 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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About NPI 1154274199

Bohannon Faraon's National Provider Identifier is 1154274199, issued on Feb 18, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Keizer, OR. The record was last updated on Feb 18, 2026.