MARK RONALD JOHANSEN

PORTLAND, OR
NPI1255680831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: OR  5072)
Enumeration Date2012-08-29
Last Update Date2012-09-04
Business Address
-- MARK RONALD JOHANSEN D.C.
12762 SE STARK ST PLAZA 125 BLDG. D
PORTLAND, OR 97233-1539
Phone number: 503-255-7746
Mailing Address
-- MARK RONALD JOHANSEN D.C.
14661 SE 172ND AVE
CLACKAMAS, OR 97015-7771
Phone number: 503-998-5314
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