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JACKIE JOHNSON
NPI 1861940108
Massage Therapist in Portland, OR

Active since September 15, 2016
12923 NW CORNELL RD STE 201, PORTLAND, OR 97229(503) 646-3393(503) 672-7042 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE JOHNSON (NPI 1861940108) is an individual massage therapist in Portland, Oregon, licensed in Oregon (22647) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1861940108
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJACKIE JOHNSON
Location Address12923 NW CORNELL RD STE 201Portland, OR 97229-5834
Mailing Address12923 Nw Cornell Rd Ste 201Portland, OR 97229-5834 · (503) 646-3393 · Fax (503) 672-7042
Phone(503) 646-3393
Fax(503) 672-7042
Sole ProprietorNo
Enumeration DateSeptember 15, 2016
✔ NPI 1861940108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 22647
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
12923 NW CORNELL RD STE 201, Portland, OR 97229
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CEDAR MILL FAMILY CHIROPRACTIC INC
Chiropractor
12923 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 646-3393
LAUREN MCCABE DC PC
Clinic/Center
12923 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 646-3393
ALYSSA DRESSLEY LMT
Massage Therapist
12923 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 646-3393
COYOTE RESOLVE
Chiropractor (Sports Physician)
12923 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 646-3393
KAREN JEAN MONETTE STANDLEY LMT
Massage Therapist
12923 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 646-3393
MR. BRANDON RYAN CHRISTY D.C
Chiropractor
12923 NW CORNELL RD STE 201
PORTLAND, OR 97229
Washington County (503) 646-3393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Johnson's NPI number?

The NPI number for Jackie Johnson is 1861940108. It was assigned to this individual provider in the NPPES registry on September 15, 2016.

Where is Jackie Johnson located?

Jackie Johnson practices at 12923 NW Cornell Rd Ste 201, Portland, OR 97229. The listed phone number is (503) 646-3393.

What is Jackie Johnson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jackie Johnson was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.