Gary A. Johnson in Gresham - Sports Physician
Gary A. Johnson - NPI 1033268404
Gary A. Johnson is a Sports Physician in Gresham, Oregon. Gary A. Johnson practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Gary A. Johnson is 1033268404. The last update date is 2007-11-16.
Gary A. Johnson's current location address is 417 E Powell Blvd, Gresham, Oregon. You can contact this provider via phone number 5036652517 and fax number 5036673239. The mailing address for Gary A. Johnson is 417 E Powell Blvd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary A. Johnson |
|---|---|
| Address | 417 E Powell Blvd, Gresham, Oregon |
| Phone Number | 5036652517 |
| Fax Number | 5036673239 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1033268404 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 417 E Powell Blvd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970307609 |
| Phone Number | 5036652517 |
| Fax Number | 5036673239 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 22894 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique identifier code issued to Gary A. Johnson by the Centers for Medicare & Medicaid Services?
The Gary A. Johnson has been assigned the NPI (National Provider Identifier) 1033268404. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gary A. Johnson is geographically located?
The Gary A. Johnson is physically situated at the following location: 417 E Powell Blvd, Gresham, OR, 970307609.
What is Gary A. Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary A. Johnson is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
On what date did the Gary A. Johnson receive the assignment of its 1033268404 from the Centers for Medicare & Medicaid Services?
The Gary A. Johnson was issued its 1033268404 by the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the Gary A. Johnson's information last updated?
The Gary A. Johnson's information was last updated on 2007-11-16.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA