Individual
DR. KEITH D JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3716 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(503) 659-0073
(503) 659-7471
Mailing address
J2272 SE ONE ROSA DRIVE, CLACKAMUS, OR 97015
(503) 888-1028
(503) 659-7471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272572
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30176
DEPT OF LABOR & INDIS
WA
01
—
370939
AMERICAN SPECIALITY PB
—
Enumeration date
11/30/2006
Last updated
07/08/2007
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