Individual provider · Type 1 NPI

Tyler Johnson, DC

Chiropractor · Portland, OR

NPI number 1790436640 Active

Practice location

815 NE Halsey St Ste B
Portland, OR 97232-1219

Mailing address

4925 SE Sherman St
Portland, OR 97215-3850

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6202 (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.

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About NPI 1790436640

Tyler Johnson, DC's National Provider Identifier is 1790436640, issued on Jan 12, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Jan 12, 2022.