Johnson, Jason Lee

Johnson, Jason Lee is an sole proprietor health care provider with primary practice located at 11120 Ne Halsey St , Portland OR 97220-2021. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Johnson, Jason Lee can be contacted via phone (503) 252-5097.

Contact Information

Primary practice address
11120 Ne Halsey St Portland OR 97220-2021
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 12553 Oregon

Profile Details

NPI number 1093950057
LBN Legal business name Johnson, Jason Lee
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2008
Last updated Dec 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers