Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619048683 Deactivated / Inactive NPI Male Practitioner

Dr. Lonnie Johnson , DC

Chiropractor • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lonnie Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 13, 2006
NPI Deactivation Date September 11, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Lonnie Johnson, DC was a registered Chiropractor practicing in Portland, OR. Throughout an active medical career spanning 18 years, Dr. Johnson provided care at the practice location at 2705 E BURNSIDE ST STE 213 until profile deactivation on 2024-09-11.

Practice Location & Contact Primary Location

Practice Address

2705 E Burnside St Ste 213

Portland, OR 972141768

Telephone 5032344288
Associated Practice Facility / Clinic
🏢 Wilkes Family Investments Llc Facility NPI 1447040423

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
594 Specialists

Practicing in Portland, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 27 1829

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

8 Associated Practitioners
Dr. Peter Wilkes , DC

Chiropractor - Rehabilitation

NPI 1114641578

Doctor of Chiropractic

NPI 1205990652

DCMS

Isabel Burbeck , LMT

Massage Therapist

NPI 1245861913

Licensed Massage Therapist

NPI 1588987473

Doctor of Chiropractic

Cira Hamlin , LMT

Massage Therapist

NPI 1609484500

Licensed Massage Therapist

NPI 1730446345

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 11, 2024

Record deactivated on September 11, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2705 E BURNSIDE ST STE 213, PORTLAND, OR 972141768 (Tel: 5032344288)

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Updated Business Mailing Address July 08, 2007

Registered at 2705 E BURNSIDE AVE #213 AVENUE, PORTLAND, OR 97214 (Tel: 5032344288)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LONNIE JOHNSON, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #27 1829 in OR)

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Initial NPI Registration & Enumeration November 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619048683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2006
Last Update: July 08, 2007
Deactivation Date: September 11, 2024

Mailing Address

2705 E Burnside Ave #213 Avenue

Portland, OR 97214

Phone: 5032344288

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.