JACKIE JOHNSON

PORTLAND, OR
NPI1861940108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  22647)
Enumeration Date2016-09-15
Last Update Date2016-09-15
Business Address
JACKIE JOHNSON
12923 NW CORNELL RD STE 201
PORTLAND, OR 97229-5834
Phone number: 503-646-3393
Mailing Address
JACKIE JOHNSON
12923 NW CORNELL RD STE 201
PORTLAND, OR 97229-5834
Phone number: 503-646-3393
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