Individual provider Active NPI

Noel Snodgrass, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1194901710
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3797 Issued in OR
Practice address
1220 SW Morrison St Ste 900
Portland, OR 97205-2228
Phone
(503) 213-3745
Fax
(503) 213-3745
NPI assigned
Jan 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3797 OR Primary

Addresses

Primary practice location

1220 SW Morrison St Ste 900
Portland, OR 97205-2228

Mailing address

1220 SW Morrison St Ste 900
Portland, OR 97205-2228
Phone (503) 213-3745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251224000407 OR Practitioner - Chiropractic 5698260990 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1220 SW Morrison St
Suite 900
Portland, OR 97205-2228
Phone (503) 213-3745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sean R. White, DC LLC Chiropractor CurrentSince May 11, 2025 Accepting new patients
Noel Snodgrass LLC Chiropractor CurrentSince Feb 25, 2024 Accepting new patients

Locations

1220 SW Morrison St
Ste 900
Portland, OR 97205
Phone (503) 213-3745

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1194901710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SW MORRISON ST STE 900",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052228",
            "telephone_number": "503-213-3745",
            "fax_number": "503-213-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SW MORRISON ST STE 900",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052228",
            "telephone_number": "503-213-3745",
            "fax_number": "503-213-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "NOEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.