Individual
LENA RENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 LIBERTY ST NE STE 170, SALEM, OR 97301-3553
(971) 600-8499
Mailing address
285 LIBERTY ST NE STE 170, SALEM, OR 97301-3553
(503) 588-6633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22961
OR
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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