Individual provider · Type 1 NPI

Desiree Johnson, LMT

Massage Therapist · Portland, OR

NPI number 1447541115 Active

Practice location

7689 SW Capitol Hwy
Portland, OR 97219-2475

Call (503) 445-4433 Map

Fax (503) 445-4464

Mailing address

7105 SW Garden Home Rd Apt 39, 7689 SW Capitol Hwy
Portland, OR 97223-9532

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16182 (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 1447541115

Desiree Johnson, LMT's National Provider Identifier is 1447541115, issued on Apr 28, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 28, 2011.