Individual provider Active NPI

Marlon Johns, DC

  • Chiropractor
  • Woodburn, OR
National Provider Identifier
1174417414
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6455 Issued in OR
Practice address
559 Glatt Cir
Woodburn, OR 97071-9675
Phone
(503) 981-4591
NPI assigned
Jun 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6455 OR Primary

Addresses

Primary practice location

559 Glatt Cir
Woodburn, OR 97071-9675

Mailing address

320 S Montgomery St Apt 218
Portland, OR 97201-5145
Phone (475) 476-9487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6455ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Health Center, LLC Chiropractor CurrentSince Jun 8, 2025 Accepting new patients
Travis Buckmaster L.Ac.,P.C. PastSince Jun 8, 2025 Accepting new patients

Locations

559 Glatt Cir
Woodburn, OR 97071
Phone (503) 981-4591

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1174417414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S MONTGOMERY ST APT 218",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015145",
            "telephone_number": "475-476-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 GLATT CIR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719675",
            "telephone_number": "503-981-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "MARLON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.