TAVIS M JOHANSSON

PORTLAND, OR
NPI1053756445
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: OR  5139)
Enumeration Date2013-04-30
Last Update Date2013-04-30
Business Address
-- TAVIS M JOHANSSON D.C.
6018 SE STARK ST SUITE 103
PORTLAND, OR 97215-1990
Phone number: 503-808-9145
Mailing Address
-- TAVIS M JOHANSSON D.C.
6018 SE STARK ST SUITE 103
PORTLAND, OR 97215-1990
Phone number: 503-808-9145
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