Individual provider Active NPI

Samuel Sisto-Lopez, DC

  • Chiropractor
  • Woodburn, OR
National Provider Identifier
1467083097
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6108 Issued in OR
Practice address
1034 N Boones Ferry Rd
Woodburn, OR 97071-9602
Phone
(503) 603-3342
Fax
(503) 688-9590
NPI assigned
Feb 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 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 6108 OR Primary

Addresses

Primary practice location

1034 N Boones Ferry Rd
Woodburn, OR 97071-9602

Mailing address

1034 N Boones Ferry Rd
Woodburn, OR 97071-9602
Phone (503) 603-3342

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsam@nunichiropractic.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125000944 OR Practitioner - Chiropractic 6103237094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6108ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Larry D Jensen DPM PC CurrentSince Nov 17, 2020 Accepting new patients
Hosmer Chiropractic Health LLC CurrentSince Sep 3, 2023 Accepting new patients
Nuni Chiropractic LLC Chiropractor Current Accepting new patients
Counseling on Burnside PastSince Jun 14, 2022 Accepting new patients

Locations

130 SW 2nd Ave
Ste 101
Canby, OR 97013
Phone (503) 263-2347

1030 NW Marshall St
Portland, OR 97209
Phone (503) 227-2279

7689 SW Capitol Hwy
Portland, OR 97219
Phone (503) 445-4454

1034 N Boones Ferry Rd
Woodburn, OR 97071
Phone (503) 603-3342

Interoperability endpoints

  • Direct secure messaging: drsam@nunichiropractic.com

Organizations & group practices 4

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": "1580601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1467083097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 N BOONES FERRY RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719602",
            "telephone_number": "503-603-3342",
            "fax_number": "503-688-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N BOONES FERRY RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719602",
            "telephone_number": "503-603-3342",
            "fax_number": "503-688-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTO-LOPEZ",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-02",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsam@nunichiropractic.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1034 N Boones Ferry Rd",
            "city": "Woodburn",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970719602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 17, 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.