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NPI Code Detail

MEDICARE: DR. CRAIG BRIAN JOHNSON D.C.

MEDICARE: DR. CRAIG BRIAN JOHNSON D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2526OR

General Provider Information

NPI Number : 1851465074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG BRIAN JOHNSON D.C.
Provider Business Mailing Address
First Line : 1880 LANCASTER DR NE STE 127
Second Line :
City : SALEM
State : OR
Zip : 97305-1069
Country : US
Telephone Number : 503-585-1026
Fax Number : 503-585-9604
Provider Business Practice Location Address
First Line : 1880 LANCASTER DR NE STE 127
Second Line :
City : SALEM
State : OR
Zip : 97305-1069
Country : US
Telephone Number : 503-585-1026
Fax Number : 503-585-9604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 01/02/2012

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Directions to “ DR. CRAIG BRIAN JOHNSON D.C.” Practice Location

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