OrganizationActive
Chiropractic Life Center PC
NPI 1235302795 · Orthopedic Chiropractor · Portland, OR
Provider details
- NPI number
- 1235302795
- Entity type
- Organization
- Primary specialty
- Orthopedic ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Mark Johansen, Owner(503) 255-7746
- License
- 271737 (OR)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
12762 Se Stark St
Plaza 125, Bldg D
Portland, OR 97233-1539
Phone: (503) 255-7746
Fax: (503) 255-0818
Street-level locationGet directions
Mailing address
12762 Se Stark St
Portland, OR 97233-1539
Other names (DBA / former)
- Doing business as
- Chiropractic Life Center
- Doing business as
- Chiropractic Life Center
Registry dates
- Enumerated
- 2008-04-04
- Last updated
- 2019-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.