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Organization
MILWAUKIE CHIROPRACTIC CENTER
Active
Organization
MILWAUKIE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH D JOHNS DC PC (PRESIDENT)
(503) 659-0073
Entity
Organization
Contact information
Practice address
3716 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(503) 659-0073
(503) 659-7471
Mailing address
3716 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(503) 659-0073
(503) 659-7471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117094
KAISER PERMANENTE PC
—
01
—
30176
WASHINGTON DEPT OF LABOR
—
01
—
370939
AMERICAN SPECIALTY HEALTH
—
01
—
825279000
BLUE CROSS BLUE SHIELD
—
01
—
825279001
REGENCE BLUE CROSS
—
01
—
85120066620630
REGENCE LIFE & HEALTH
—
Enumeration date
06/10/2006
Last updated
04/20/2008
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