person
Mark Ronald Johansen, DC
Chiropractor in Portland, Oregon
NPI 1255680831

Mark Ronald Johansen is a Chiropractor based in Clackamas, OR. Mark Ronald Johansen practices in Portland, OR and has the professional credentials of DC. The NPI Number for Mark Ronald Johansen is 1255680831 and holds a License No. 5072 (Oregon).

The current practice location address for Mark Ronald Johansen is 12762 Se Stark St, Portland, OR and can be reached out via phone at 503-255-7746.

Location: 12762 Se Stark St, Portland, OR, 97015-7771
person
Provider Profile Details
NPI Number
1255680831
Provider Name
Mark Ronald Johansen
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12762 Se Stark St, Portland, OR, 97015-7771
Phone Number
503-255-7746
Fax Number
Provider Enumeration Date
08/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12762 Se Stark St
City
State
Zip
97233-1539
Phone Number
503-255-7746
Fax Number
person
Provider Business Mailing Address Details
Address
12762 Se Stark St
City
State
Zip
97233-1539
Phone Number
503-255-7746
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
5072 (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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