Individual
GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16315 SW BARROWS RD STE 203A, BEAVERTON, OR 97007-9461
(503) 746-6585
Mailing address
5670 SW ERICKSON AVE APT 17, BEAVERTON, OR 97005-3893
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
OR
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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