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MARK RONALD JOHANSEN D.C.
NPI 1255680831
Chiropractor in Portland, OR

Active since August 29, 2012
12762 SE STARK ST, PLAZA 125 BLDG. D, PORTLAND, OR 97233(503) 255-7746 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Ronald Johansen D.c. NPPES

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

MARK RONALD JOHANSEN D.C. (NPI 1255680831) is an individual chiropractor in Portland, Oregon, licensed in Oregon (5072) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1255680831
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMARK RONALD JOHANSENCredential: D.C.
Location Address12762 SE STARK ST, PLAZA 125 BLDG. DPortland, OR 97233-1539
Mailing Address14661 Se 172nd AveClackamas, OR 97015-7771 · (503) 998-5314
Phone(503) 255-7746
Sole ProprietorYes
Enumeration DateAugust 29, 2012
Last NPPES UpdateSeptember 4, 2012
✔ NPI 1255680831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 5072
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.
12762 SE STARK ST, Portland, OR 97233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. JAMES LEE ANDREWS D.C.
Chiropractor
12762 SE STARK ST, PLAZA 125, BLDG D
PORTLAND, OR 97233
Multnomah County (503) 255-7746
DR. RONALD R JOHANSEN D.C.
Chiropractor (Orthopedic)
12762 SE STARK ST, PLAZA 125 BLDG D
PORTLAND, OR 97233
Multnomah County (503) 255-7746
CHIROPRACTIC LIFE CENTER PC
Chiropractor (Orthopedic)
12762 SE STARK ST, PLAZA 125, BLDG D
PORTLAND, OR 97233
Multnomah County (503) 255-7746

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 Mark Johansen's NPI number?

The NPI number for Mark Johansen is 1255680831. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Mark Johansen located?

Mark Johansen practices at 12762 SE Stark St Plaza 125 Bldg. D, Portland, OR 97233. The listed phone number is (503) 255-7746.

What is Mark Johansen's specialty?

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

What insurance does Mark Johansen accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Mark Johansen 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 Mark Johansen was last updated on September 4, 2012. 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.