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

Individual provider Contractor · NPI 1093950057

Jason Lee Johnson, MASSAGETHERAPIST is a Contractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008
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Practice location Address checks out

11120 NE Halsey St
Portland, OR 97220-2021
Phone: (503) 252-5097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 12553 (OR)

Record details

NPI number1093950057
Entity typeIndividual (Type 1)
GenderMale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedDecember 4, 2008
Last updated in NPPESDecember 4, 2008

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