Individual
MS. ALEXIS ROSE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3880 SE HARRISON ST, MILWAUKIE, OR 97222-5899
(503) 513-4665
(503) 513-4663
Mailing address
5011 SE 30TH AVE APT 77, PORTLAND, OR 97202-9507
(760) 910-5094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24745
OR
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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