Organization
JOHNSON CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A. JOHNSON DC (PRESIDENT/OWNER)
(503) 665-2517
Entity
Organization
Contact information
Practice address
417 E POWELL BLVD, GRESHAM, OR 97030-7609
(503) 665-2517
Mailing address
417 E POWELL BLVD, GRESHAM, OR 97030-7609
(503) 665-2517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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