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

Tavis M Johansson, DC

Individual provider Chiropractor · NPI 1053756445

Tavis M Johansson, DC is a Chiropractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

6018 SE Stark St Ste 103
Portland, OR 97215-1990
Phone: (503) 808-9145
Fax: (503) 473-8085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5139 (OR)

Record details

NPI number1053756445
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 30, 2013
Last updated in NPPESApril 30, 2013
Mailing address6018 Se Stark St, Suite 103, Portland, OR 97215-1990

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