Organization Active NPI

Accident and Wellness Chiropractic LLC

Doing business as Accident & Wellness Chiropractic

  • Preferred Provider Organization
  • Portland, OR
National Provider Identifier
1053607721
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
3866 Issued in OR
Legal business name
ACCIDENT AND WELLNESS CHIROPRACTIC LLC
Doing business as
Accident & Wellness Chiropractic
Practice address
4124 SE 82ND Ave Ste 700
Portland, OR 97266-2946
Phone
(503) 206-8863
Fax
(503) 477-9113
NPI assigned
Jun 21, 2011
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Neal Stumpf, DCNPI 1760895031
Title
Owner
Phone
(360) 721-2698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 3866 OR
Preferred Provider Organization 305R00000X 3866 OR Primary

Addresses

Primary practice location

4124 SE 82ND Ave Ste 700
Portland, OR 97266-2946

Mailing address

4124 SE 82ND Ave Ste 700
Portland, OR 97266-2946
Phone (503) 206-8863

Other identifiers 1

IdentifierTypeStateIssuer
500859689MedicaidOR

Other names 1

  • Accident & Wellness Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251211002580 OR Part B Supplier - Clinic/Group Practice 4284128786 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

6035 SW 185th Ave
Beaverton, OR 97078
Phone (503) 730-3130

4124 SE 82nd Ave
Ste 700
Portland, OR 97266
Phone (503) 206-8863

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1053607721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 SE 82ND AVE STE 700",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662946",
            "telephone_number": "503-206-8863",
            "fax_number": "503-477-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 SE 82ND AVE STE 700",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662946",
            "telephone_number": "503-206-8863",
            "fax_number": "503-477-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT AND WELLNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "STUMPF",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-721-2698",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "3866",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "3866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500859689",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accident & Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.