HEIDI MAE JOHNSON

PORTLAND, OR
NPI1477062883
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  18117)
Enumeration Date2017-09-28
Last Update Date2017-09-28
Business Address
HEIDI MAE JOHNSON
118 N KILLINGSWORTH ST
PORTLAND, OR 97217-2435
Phone number: 503-288-4454
Mailing Address
HEIDI MAE JOHNSON
1904 N KILPATRICK ST
PORTLAND, OR 97217-6651
Phone number: 503-793-4768
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