DR. Gary A. Johnson, D.C.

NPI #1033268404 in Gresham, Oregon

Provider Information

NPI Number: 1033268404
Entity Type: Individual
Name: DR. Gary A. Johnson, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 8, 2007
Last Updated: Nov 16, 2007

Practice Location

Address: 417 E POWELL BLVD
City: Gresham
State: Oregon
ZIP Code: 97030-7609
Phone: (503) 665-2517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Chiropractor - Sports Physician — Sports Physician	111NS0005X

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