Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Ronald Johansen, DC

Individual provider Chiropractor · NPI 1255680831

Mark Ronald Johansen, DC is a Chiropractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2012
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

12762 SE Stark St Plaza 125 Bldg D
Portland, OR 97233-1539
Phone: (503) 255-7746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5072 (OR)

Record details

NPI number1255680831
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 29, 2012
Last updated in NPPESSeptember 4, 2012
Mailing address14661 Se 172nd Ave, Clackamas, OR 97015-7771

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