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

Mr. Frederick Farman Johnson III, LMT

Individual provider Contractor · NPI 1164794202

Mr. Frederick Farman Johnson III, LMT is a Contractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

334 NE Irving Ave
Portland, OR 97702
Phone: (541) 419-4019
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 18101 (OR)
Contractor Taxonomy 171W00000X · Licence 18101 (OR)

Record details

NPI number1164794202
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedFebruary 6, 2012
Last updated in NPPESFebruary 6, 2012

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