Lori Wallace Johnson, LMP LMT is a
Massage Therapist based in White Solmon, Washington. Lori Wallace Johnson is licensed to practice in Washington (license number MA00019304) and her current practice location is
410 E Jewett Blvd, White Solmon, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 493-4000.
NPI number for Lori Wallace Johnson is 1881716660 and her current mailing address is 4460 Riordan Hill Drive, Hood River, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881716660.
Healthcare Provider's Profile
Full Name | Lori Wallace Johnson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 410 E Jewett Blvd, White Solmon, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881716660
- Provider Enumeration Date: 04/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Lori Wallace Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881716660 | NPI | - | NPPES |
33752 | Other | | AMERICAN WHOLE HEALTH NET |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA00019304 (Washington) | Primary |
225700000X | Massage Therapist | 11019 (Oregon) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori Wallace Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lori Wallace Johnson, LMP LMT 4460 Riordan Hill Drive, Hood River, OR 97031 Ph: (541) 490-7711 | Lori Wallace Johnson, LMP LMT 410 E Jewett Blvd, White Solmon, WA 98672 Ph: (509) 493-4000 |
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