Provider Demographics
NPI:1831100809
Name:STRAUSS, JOHN LEHMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LEHMAN
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36909 ELDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-8320
Mailing Address - Country:US
Mailing Address - Phone:503-668-7661
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:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR65 1409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORROOOOQGBQCMedicare ID - Type Unspecified