SearchOregon225700000X

Selah Johnson, LMT

NPI 1770324923 · on the registry since 2024 · sole proprietor

Practice

Address
2933 Ne Broadway St
Portland, OR 97232
Phone
(503) 960-3366
Organisation at this address
Marya Deda Inc
Body Ritual Llc
Lavender Moon Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon