Jackie Johnson is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Jackie Johnson NPI is 1861940108. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
12923 NW CORNELL RD STE 201
PORTLAND, OR
ZIP 97229-834
Phone: (503) 646-3393
Fax: (503) 672-7042
The enumeration date for this NPI number is 9/15/2016 and was last updated on 9/15/2016.