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TAVIS M JOHANSSON D.C.
NPI 1053756445
Chiropractor in Portland, OR

Active since April 30, 2013
6018 SE STARK ST, SUITE 103, PORTLAND, OR 97215(503) 808-9145(503) 473-8085 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tavis M Johansson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAVIS M JOHANSSON D.C. (NPI 1053756445) is an individual chiropractor in Portland, Oregon, licensed in Oregon (5139) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1053756445
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTAVIS M JOHANSSONCredential: D.C.
Location Address6018 SE STARK ST, SUITE 103Portland, OR 97215-1990
Mailing Address6018 Se Stark St, Suite 103Portland, OR 97215-1990 · (503) 808-9145 · Fax (503) 473-8085
Phone(503) 808-9145
Fax(503) 473-8085
Sole ProprietorYes
Enumeration DateApril 30, 2013
✔ NPI 1053756445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 5139
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
6018 SE STARK ST, Portland, OR 97215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA ALLEN
Social Worker (Clinical)
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (541) 517-9733
ELIZABETH FROST-WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (971) 402-9488
LARKIN CORRIGAN
Social Worker (Clinical)
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (541) 517-9733
MS. KELLY FORESTER LMT
Massage Therapist
6018 SE STARK ST, STE. 103
PORTLAND, OR 97215
Multnomah County (503) 754-2696
JENNIFER FOX BS, LMT
Specialist
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 808-9145
PACNORTHWEST COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 730-5760
KELLY COREY SHAW LAC
Acupuncturist
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 808-9145
LEIGH BURGER
Social Worker (Clinical)
6018 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 446-3188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tavis Johansson's NPI number?

The NPI number for Tavis Johansson is 1053756445. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Tavis Johansson located?

Tavis Johansson practices at 6018 SE Stark St Suite 103, Portland, OR 97215. The listed phone number is (503) 808-9145.

What is Tavis Johansson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Tavis Johansson accept?

Health plans from Medica list Tavis Johansson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tavis Johansson was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.