Individual
DR. RONALD R JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12762 SE STARK ST, PLAZA 125 BLDG D, PORTLAND, OR 97233-1539
(503) 255-7746
(503) 255-0818
Mailing address
12762 SE STARK ST, PLAZA 125 BLDG D, PORTLAND, OR 97233-1539
(503) 255-7746
(503) 255-0818
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
27-1737
OR
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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