NPI 1033268404

Gary A. Johnson, DC

Practitioner Chiropractor Gresham, OR

Practice location

Address: 417 E Powell Blvd, Gresham, OR 97030-7609
Phone: (503) 665-2517
Fax: (503) 667-3239

Registered specialties (2)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 22894 (OR)

Other Chiropractor providers in Oregon →

Sports Physician Chiropractor

Chiropractic Providers Taxonomy 111NS0005X Licence 22894 (OR)

Registry record

NPI: 1033268404
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2007
Record last updated: 16 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.