IndividualActive
Bohannon Faraon
NPI 1154274199 · Massage Therapist · Keizer, OR
Provider details
- NPI number
- 1154274199
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 27265 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
156 Chemawa Rd N
Keizer, OR 97303-5356
Phone: (503) 999-5960
Approximate (ZIP-level) locationGet directions
Mailing address
156 Chemawa Rd N
Keizer, OR 97303-5356
Registry dates
- Enumerated
- 2026-02-18
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.