Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
6018 SE STARK ST SUITE 103
PORTLAND, OR 97215-1990 US

Tavis M Johansson

Chiropractor


Tavis M Johansson

Overview

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

Contact Information

Primary Practice Location Information
6018 SE STARK ST SUITE 103
PORTLAND, OR 97215-1990 US
Phone: (503)-808-9145
Fax:
Practice Mailing Information
6018 SE STARK ST
PORTLAND, OR 97215-1990 US
Phone: (503)-808-9145
Fax: (503)-473-8085
License NumberState
5139OR

No Identifiers found

TaxonomyStatePrimary?
Chiropractor - Taxonomy Code 111N00000X ORY