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Active NPI 1659554632 Organization (Entity Type 2)

Johnson Chiropractic Clinic Pc

Chiropractor • Gresham, OR

About Johnson Chiropractic Clinic Pc NPI 1659554632 Summary

Johnson Chiropractic Clinic Pc is a verified healthcare organization specializing in Chiropractor operating in Gresham, OR. Located at 417 E POWELL BLVD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1659554632.

Administrative operations and authorized compliance are overseen by Gary Johnson (President/Owner).

The facility is associated with 4 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

417 E Powell Blvd

Gresham, OR 970307609

Telephone 5036652517

Authorized Official Information

Authorized Contact Name

MR. Gary Johnson , DC

Title / Role

President/owner

Official Telephone

5036652517

Facility Classifications & Specialties

Chiropractor Primary Taxonomy

NUCC Taxonomy Code: 111N00000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

4 Linked

Chiropractor

Gresham, OR

View Practitioner Profile →
Heather Klann , LMT NPI 1447500335

Massage Therapist

Gresham, OR

View Practitioner Profile →
Kirstin Card , LMT NPI 1518362250

Massage Therapist

Gresham, OR

View Practitioner Profile →

Massage Therapist

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active December 12, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 12, 2007

Registered at 417 E POWELL BLVD, GRESHAM, OR 970307609 (Tel: 5036652517)

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Updated Business Mailing Address December 12, 2007

Registered at 417 E POWELL BLVD, GRESHAM, OR 970307609 (Tel: 5036652517)

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Organization / Clinic Name Updated December 12, 2007

Operating as JOHNSON CHIROPRACTIC CLINIC PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2007

Chiropractor

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Initial NPI Registration & Enumeration December 12, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1659554632
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 12, 2007
Last Update: December 12, 2007

Mailing Address

417 E Powell Blvd

Gresham, OR 970307609

Phone: 5036652517

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.