Individual
JOHNATHEN LEE BURKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3835 SW 185TH AVE STE 400, BEAVERTON, OR 97078-1553
(503) 626-2166
Mailing address
7645 SW 66TH AVE, PORTLAND, OR 97223-9403
(971) 230-4830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28438
OR
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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