Lorita Elaine Johnson, LMT

NPI #1629219613 in Gresham, Oregon

Provider Information

NPI Number: 1629219613
Entity Type: Individual
Name: Lorita Elaine Johnson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Mar 20, 2009
Last Updated: Mar 20, 2009

Practice Location

Address: 24850 SE STARK ST STE 200
City: Gresham
State: Oregon
ZIP Code: 97030-8320
Phone: (971) 285-2905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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