Tavis M Johansson is a Chiropractor in the PORTLAND area. Tavis M Johansson primary office location is at 6018 SE STARK ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1053756445 and the information was updated approximately 13 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
| License Number | State |
|---|---|
| 5139 | OR |
| Taxonomy | State | Primary? |
|---|---|---|
| Chiropractor - Taxonomy Code 111N00000X | OR | Y |