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

Jackie Johnson

Individual provider Massage Therapist · NPI 1861940108

Jackie Johnson is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

12923 NW Cornell Rd Ste 201
Portland, OR 97229-5834
Phone: (503) 646-3393
Fax: (503) 672-7042
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 22647 (OR)

Record details

NPI number1861940108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2016
Last updated in NPPESSeptember 15, 2016

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