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1093950057
JASON LEE JOHNSON
PORTLAND, OR
NPI
1093950057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OR 12553)
Enumeration Date
2008-12-04
Last Update Date
2008-12-04
Business Address
-- JASON LEE JOHNSON Massage Therapist
11120 NE HALSEY ST
PORTLAND, OR 97220-2021
Phone number: 503-252-5097
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Mailing Address
-- JASON LEE JOHNSON Massage Therapist
15420 SW MICA LN
BEAVERTON, OR 97007-9307
Phone number: 503-453-4991
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