Provider Demographics
NPI:1750683348
Name:DR JOHN L. STRAUSS, PC
Entity Type:Organization
Organization Name:DR JOHN L. STRAUSS, PC
Other - Org Name:STRAUSS CHIROPRACTIC & INJURY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LEHMAN
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-492-3375
Mailing Address - Street 1:3030 NE HOGAN DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-3174
Mailing Address - Country:US
Mailing Address - Phone:503-492-3375
Mailing Address - Fax:503-666-8134
Practice Address - Street 1:3030 NE HOGAN DR
Practice Address - Street 2:SUITE E
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-3174
Practice Address - Country:US
Practice Address - Phone:503-492-3375
Practice Address - Fax:503-666-8134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty