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1043302409
RONALD R JOHANSEN
PORTLAND, OR
NPI
1043302409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NX0800X Chiropractor, Orthopedic
(Licence: OR 27-1737)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Dr. RONALD R JOHANSEN D.C.
12762 SE STARK ST PLAZA 125 BLDG D
PORTLAND, OR 97233-1539
Phone number: 503-255-7746
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Mailing Address
Dr. RONALD R JOHANSEN D.C.
12762 SE STARK ST PLAZA 125 BLDG D
PORTLAND, OR 97233-1539
Phone number: 503-255-7746
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