IndividualActive
Justin Johnson, LMT
NPI 1235643065 · Massage Therapist · Milwaukie, OR
Provider details
- NPI number
- 1235643065
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23952 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2100 Se Lake Rd Ste 1
Milwaukie, OR 97222-7759
Phone: (503) 344-6711
Fax: (503) 926-9365
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Se Lake Rd Ste 1
Milwaukie, OR 97222-7759
Registry dates
- Enumerated
- 2017-12-01
- Last updated
- 2017-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.