Individual
MS. ALISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T., C.A.
Contact information
Practice address
15495 SW SEQUOIA PKWY, TIGARD, OR 97224-6100
(503) 567-3456
Mailing address
15495 SW SEQUOIA PKWY, TIGARD, OR 97224-6100
(503) 567-3456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18362
OR
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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