MARK RONALD JOHANSEN


Address: 12762 Se Stark St, Plaza 125 Bldg. D, Portland, OR 97233-1539
Phone: 5032557746

MARK RONALD JOHANSEN (NPI# 1255680831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255680831
Entity Type Individual
Full Name MARK RONALD JOHANSEN
Credential D.C.
Practice Address 12762 Se Stark St
Plaza 125 Bldg. D
Portland
OR 97233-1539
Mailing Address 14661 Se 172nd Ave
Clackamas
OR 97015-7771
Practice Telephone 5032557746
Mailing Telephone 5039985314
Enumeration Date 2012-08-29
Last Update Date 2012-09-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 5072 OR Chiropractic Providers

Other Providers MARK JOHANSEN

NPI Name Taxonomy Address Enumeration
1720066707 Mark R Johansen Physical Medicine & Rehabilitation 3425 S Clarkson St, Englewood, CO 80113-2811 2006-01-09
1932257979 Mark C. Johansen Family Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2007-01-08

Office Location

Street Address 12762 SE STARK ST
PLAZA 125 BLDG. D
City PORTLAND
State OR
Zip Code 97233-1539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043301088 James Lee Andrews Chiropractor 12762 Se Stark St, Plaza 125, Bldg D, Portland, OR 97233-1539 2006-09-27
1235302795 Chiropractic Life Center PC Chiropractor 12762 Se Stark St, Plaza 125, Bldg D, Portland, OR 97233-1539 2008-04-04
1043302409 Ronald R Johansen Chiropractor 12762 Se Stark St, Plaza 125 Bldg D, Portland, OR 97233-1539 2006-09-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205448164 Moore Therapy Services, LLC Behavioral Analyst 2053 Se 181st Ave, Portland, OR 97233 2020-08-20
1427563733 Central City Concern Inc Clinic/Center 1415 Se 122nd Ave, Portland, OR 97233 2017-12-08
1427573443 Sunshine Ahc In Home Supportive Care 2217 Se 156th Ave, Portland, OR 97233 2017-08-10
1538609433 Nathaniel Davis Jr. Counselor 8915 Se Center St, Tigard, OR 97233 2017-02-27
1154878627 Oregon Outreach Inc Case Management 1740 South East 139th Avenue, Portland, OR 97233 2016-09-01
1023461019 Julianne Baltzley Counselor 2409 Se 149th Avenue, Portland, OR 97233 2016-07-14
1710332143 Emma Slater Counselor 12360 Se Burnside, Portland, OR 97233 2016-05-04
1245621952 Gregory Brett Bledsoe Counselor 1427 Se 182nd Ave., Portland, OR 97233 2015-02-17
1396149852 Jacqueline Bension Counselor 1705 Se 122nd Ave, Portland, OR 97233 2014-10-13
1700206950 Olga I Zlatova I Dental Hygienist 325 Se 154th Ave, Portland, OR 97233 2014-04-25
Find all providers in zip 97233

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700486958 Amy Elizabeth Goebel Chiropractor 5103 Se Stark St Apt B, Portland, OR 97215-1764 2020-10-27
1003423914 Evergreen Chiropractic PC Chiropractor 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 2020-09-24
1750993283 University of Western States Healthcare Inc Chiropractor 8000 Ne Tillamook St, Portland, OR 97213-6655 2020-08-17
1518587989 Kristy Pearl Arneson Chiropractor 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 2020-04-25
1770102956 Behireta Corbadzic Chiropractor 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 2020-04-08
1134754427 Bonnie Anderson Chiropractor 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 2020-03-06
1629601372 Megan Adele Robles Chiropractor 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 2020-02-20
1306479472 Naomi M Enos-burles Chiropractor 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 2020-02-18
1184256927 Michael Nicosia Chiropractor 207 Santa Monica St, Portland, TX 78374-2645 2020-02-10
1942832258 Tracy Yvonne Still Chiropractor 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 2020-02-05
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97233

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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