Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heidi Mae Johnson

Individual provider Massage Therapist · NPI 1477062883

Heidi Mae Johnson is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

118 N Killingsworth St
Portland, OR 97217-2435
Phone: (503) 288-4454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 18117 (OR)

Record details

NPI number1477062883
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2017
Last updated in NPPESSeptember 28, 2017

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