Individual
DR. GARY A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
417 E POWELL BLVD, GRESHAM, OR 97030-7609
(503) 665-2517
(503) 667-3239
Mailing address
417 E POWELL BLVD, GRESHAM, OR 97030-7609
(503) 665-2517
(503) 667-3239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
22894
OR
111NS0005X
Sports Physician Chiropractor
22894
OR
Other
Enumeration date
01/08/2007
Last updated
11/16/2007
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