Individual provider · Type 1 NPI

Tavis M. Johansson, DC

Chiropractor · Portland, OR

NPI number 1053756445 Active

Practice location

6018 SE Stark St, Suite 103
Portland, OR 97215-1990

Call (503) 808-9145 Map

Fax (503) 473-8085

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5139 (OR)

Chiropractor: 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.

22 other providers at this address

Other chiropractor providers in Portland

See all in Portland →

About NPI 1053756445

Tavis M. Johansson, DC's National Provider Identifier is 1053756445, issued on Apr 30, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Apr 30, 2013.