Johnson Chiropractic Clinic PC

NPI #1659554632 in Gresham, Oregon

Provider Information

NPI Number: 1659554632
Entity Type: Organization
Organization Name: Johnson Chiropractic Clinic PC
Primary Specialty: Chiropractor
Enumeration Date: Dec 12, 2007
Last Updated: Dec 12, 2007

Practice Location

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

Authorized Official

Name: MR. GARY A. JOHNSON, DC
Title: PRESIDENT/OWNER
Phone: (503) 665-2517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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