Organization
MASSAGE BY ERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA CHRISTEL JOHANSEN L.M.T. (MASSAGE THERAPIST)
(971) 409-8362
Entity
Organization
Contact information
Practice address
56450 NEHALEM HWY S, VERNONIA, OR 97064-9611
(971) 409-8362
Mailing address
56450 NEHALEM HWY S, VERNONIA, OR 97064-9611
(971) 409-8362
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12712
OR
Other
Enumeration date
11/01/2014
Last updated
05/21/2015
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