Dr. Mark Ronald Johansen , DC
Chiropractor • Portland, OR
Professional Overview & Biography Verified Profile Summary
Dr. Mark Johansen, DC is a registered healthcare professional specializing in Chiropractor in Portland, OR. Practice services are available at 12762 SE STARK ST under active NPI credentials.
Practice Location & Contact Primary Location
12762 Se Stark St
Plaza 125 Bldg. D
Portland, OR 972331539
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Portland, OR
Practicing in Portland, OR (1950 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Chiropractor
Doctor of Chiropractic
Chiropractor - Orthopedic
Doctor of Chiropractic
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 12762 SE STARK ST, PLAZA 125 BLDG. D, PORTLAND, OR 972331539 (Tel: 5032557746)
Registered at 14661 SE 172ND AVE, CLACKAMAS, OR 970157771 (Tel: 5039985314)
Recorded as MARK JOHANSEN, D.C.
Chiropractor (License #5072 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
14661 Se 172nd Ave
Clackamas, OR 970157771
Phone: 5039985314
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