Johnson, Gary A.
Johnson, Gary A. is an individual health care provider with primary practice located at 417 E Powell Blvd , Gresham OR 97030-7609. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Johnson, Gary A. can be contacted via phone (503) 665-2517.Contact Information
Primary practice address
417 E Powell Blvd
Gresham OR 97030-7609
Phone: (503) 665-2517
Fax: (503) 667-3239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 22894 | Oregon |
| Chiropractic Providers / Sports Physician | 111NS0005X | 22894 | Oregon |
Profile Details
| NPI number | 1033268404 |
|---|---|
| LBN Legal business name | Johnson, Gary A. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Nov 16th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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