JASON LEE JOHNSON

PORTLAND, OR
NPI1093950057
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: OR  12553)
Enumeration Date2008-12-04
Last Update Date2008-12-04
Business Address
-- JASON LEE JOHNSON Massage Therapist
11120 NE HALSEY ST
PORTLAND, OR 97220-2021
Phone number: 503-252-5097
Mailing Address
-- JASON LEE JOHNSON Massage Therapist
15420 SW MICA LN
BEAVERTON, OR 97007-9307
Phone number: 503-453-4991