Individual provider · Type 1 NPI

Heidi Mae Johnson

Massage Therapist · Portland, OR

NPI number 1477062883 Active

Practice location

118 N Killingsworth St
Portland, OR 97217-2435

Call (503) 288-4454 Map

Mailing address

1904 N Kilpatrick St
Portland, OR 97217-6651

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18117 (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 1477062883

Heidi Mae Johnson's National Provider Identifier is 1477062883, issued on Sep 28, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2017.