DESIREE JOHNSON (NPI# 1447541115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447541115 |
| Entity Type | Individual |
| Full Name | DESIREE JOHNSON |
| Credential | LMT |
| Practice Address |
7689 Sw Capitol Hwy Portland OR 97219-2475 |
| Mailing Address |
7105 Sw Garden Home Rd Apt 39 7689 Sw Capitol Hwy Portland OR 97223-9532 |
| Practice Telephone | 5034454433 |
| Practice Fax Number | 5034454464 |
| Mailing Telephone | 5034454433 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 16182 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903202 | Desiree B Johnson | Family Medicine | 201 Woodson St Ste A, Salisbury, NC 28144-3286 | 2005-09-22 |
| 1427677764 | Desiree A Johnson | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-04-15 |
| 1003386236 | Desiree Brooke Johnson | Counselor | 711 E 3rd Ave, Spokane, WA 99202-2211 | 2018-11-30 |
| 1962984286 | Desiree Taylor Johnson | Specialist/Technologist | 209 S Kingshighway St, Saint Charles, MO 63301-1693 | 2018-09-04 |
| 1134660418 | Desiree Johnson | Social Worker | 24209 Northwestern Hwy, Suite 258, Southfield, MI 48075-2539 | 2017-03-20 |
| 1134662000 | Desiree Johnson | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2016-11-28 |
| 1295278497 | Desiree Johnson | Counselor | 3672 N Rancho Dr, Las Vegas, NV 89130-3149 | 2016-11-21 |
| 1790236529 | Desiree Johnson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2016-10-17 |
| 1225302185 | Desiree M Johnson | Specialist/Technologist | 12605 East Fwy, Ste 200, Houston, TX 77015-5625 | 2012-02-23 |
| 1598037848 | Desiree A Johnson | Counselor | 701 Loyola Ave, 106, New Orleans, LA 70113-1912 | 2012-02-02 |
| Street Address |
7689 SW CAPITOL HWY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073843116 | Marlin Douglas Starr | Massage Therapist | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2010-01-13 |
| 1538633094 | Jessi Gradin | Chiropractor | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2019-01-17 |
| 1871017723 | Iris Briand | Dietitian, Registered | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2017-08-02 |
| 1619404316 | Viktoriya Mikhaylovna Dimaku | Nurse Practitioner | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2017-05-12 |
| 1447594023 | Aleshia K Lacey | Mechanotherapist | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2012-11-20 |
| 1821367525 | Stephanie Phinney Durham | Naturopath | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2011-12-26 |
| 1013214881 | Vivacity Health, LLC | Clinic/Center | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2011-02-14 |
| 1689983108 | Multnomah Family Care Center | Clinic/Center | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2010-09-30 |
| 1457660334 | Ai Zen LLC | Massage Therapist | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| 1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
| 1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.