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Tavis Johansson, D.C.
NPI 1053756445 · Chiropractor · Portland, OR
Tavis Johansson, D.C. is a Chiropractor provider in Portland, OR (NPI 1053756445).
Provider details
- NPI number
- 1053756445
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5139 (OR)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6018 Se Stark St
Suite 103
Portland, OR 97215-1990
Phone: (503) 808-9145
Fax: (503) 473-8085
Street-level locationGet directions
Mailing address
6018 Se Stark St
Portland, OR 97215-1990
Registry dates
- Enumerated
- 2013-04-30
- Last updated
- 2013-04-30
Frequently asked questions
- What is Tavis Johansson's NPI number?
- Tavis Johansson's National Provider Identifier (NPI) is 1053756445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tavis Johansson's specialty?
- Tavis Johansson is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
- Where is Tavis Johansson located?
- Tavis Johansson's practice location on file with NPPES is 6018 Se Stark St, Portland, OR 97215-1990.
- What is Tavis Johansson's phone number?
- The practice phone number listed in the NPPES registry for Tavis Johansson is (503) 808-9145.
- Is Tavis Johansson's NPI active?
- Yes — Tavis Johansson's NPI (1053756445) is active in the NPPES registry as of the last update on 2013-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.