LORITA ELAINE JOHNSON

GRESHAM, OR
NPI1629219613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  6181)
Enumeration Date2009-03-20
Last Update Date2009-03-20
Business Address
-- LORITA ELAINE JOHNSON LMT
24850 SE STARK ST STE 200
GRESHAM, OR 97030-8320
Phone number: 971-285-2905
Mailing Address
-- LORITA ELAINE JOHNSON LMT
PO BOX 1615
SANDY, OR 97055-1615
Phone number: 971-285-2905