Organization
ROSEWAY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS N. JOHNSON D.C. (OWNER)
(503) 284-6727
Entity
Organization
Contact information
Practice address
7131 NE FREMONT ST, PORTLAND, OR 97213-5835
(503) 284-6727
Mailing address
7131 NE FREMONT ST, PORTLAND, OR 97213-5835
(503) 284-6727
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2096
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096537000
BLUE CROSS BLUE SHIELD OF OREGON
—
Enumeration date
05/20/2008
Last updated
05/20/2008
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