Individual provider · Type 1 NPI

Jennifer Johansen, LMT

Massage Therapist · Portland, OR

NPI number 1730682162 Active

Practice location

1201 SW 12th Ave, Suite 600
Portland, OR 97205

Call (503) 224-2425 Map

Fax (503) 224-7512

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23809 (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 1730682162

Jennifer Johansen, LMT's National Provider Identifier is 1730682162, issued on Mar 12, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 12, 2018.