Individual provider · Type 1 NPI

Nicholas Johnsen, LMT

Massage Therapist · West Linn, OR

NPI number 1295156578 Active

Practice location

21860 Willamette Dr
West Linn, OR 97068-3256

Call (503) 650-2394 Map

Mailing address

7035 SW 15th Ave
Portland, OR 97219-2032

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20214 (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 1295156578

Nicholas Johnsen, LMT's National Provider Identifier is 1295156578, issued on Jan 3, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Linn, OR. The record was last updated on Jan 3, 2014.