person
Tavis M Johansson, DC
Chiropractor in Portland, Oregon
NPI 1053756445

Tavis M Johansson is a Chiropractor based in Portland, OR. Tavis M Johansson practices in Portland, OR and has the professional credentials of DC. The NPI Number for Tavis M Johansson is 1053756445 and holds a License No. 5139 (Oregon).

The current practice location address for Tavis M Johansson is 6018 Se Stark St, Portland, OR and can be reached out via phone at 503-808-9145 and via fax at 503-473-8085.

Location: 6018 Se Stark St, Portland, OR, 97215-1990
person
Provider Profile Details
NPI Number
1053756445
Provider Name
Tavis M Johansson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
6018 Se Stark St, Portland, OR, 97215-1990
Phone Number
503-808-9145
Fax Number
503-473-8085
Provider Enumeration Date
04/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6018 Se Stark St
City
State
Zip
97215-1990
Phone Number
503-808-9145
Fax Number
503-473-8085
person
Provider Business Mailing Address Details
Address
6018 Se Stark St
City
State
Zip
97215-1990
Phone Number
503-808-9145
Fax Number
503-473-8085
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
5139 (Oregon)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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