Individual
DR. TYREL AARON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
522 SE BELMONT ST, PORTLAND, OR 97214-2308
(503) 257-1324
Mailing address
522 SE BELMONT ST, PORTLAND, OR 97214-2308
(503) 257-1324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5826
OR
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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