Individual provider Active NPI

Stefanie Krupp, DC

  • Chiropractor
  • Milwaukie, OR
National Provider Identifier
1225360357
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5600 Issued in OR
Practice address
2190 SE Oak Grove Blvd
Milwaukie, OR 97267-2658
Phone
(503) 656-1415
NPI assigned
Jan 29, 2010
Reactivated
Nov 22, 2023
Last updated
Mar 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5600 OR Primary

Addresses

Primary practice location

2190 SE Oak Grove Blvd
Milwaukie, OR 97267-2658

Mailing address

1867 SE Anspach St
Milwaukie, OR 97267-2619

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222001126 OR Practitioner - Chiropractic 3870622913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2190 SE Oak Grove Blvd
Milwaukie, OR 97267-2658
Phone (503) 656-1415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5600ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sustainable Alignment, LLC Chiropractor CurrentSince Apr 6, 2025 Accepting new patients
Denise Primavera D.C., P.C. Chiropractor PastSince Jun 6, 2022 Accepting new patients
Health Quest Chiropractic & Physical Therapy, LLC Chiropractor Past Accepting new patients
Evans Chiropractic Center Inc Chiropractor PastSince Sep 12, 2022 Accepting new patients
Family Chiropractic of Dallas, PC Chiropractor PastSince Jan 1, 2009 Accepting new patients

Locations

2190 SE Oak Grove Blvd
Oak Grove, OR 97267
Phone (503) 656-1415

1107 7th St
Oregon City, OR 97045
Phone (503) 656-1415

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1225360357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 SE ANSPACH ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 SE OAK GROVE BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672658",
            "telephone_number": "503-656-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "STEFANIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "deactivation_date": "2016-02-08",
        "reactivation_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.