Active NPI
Bradley Dale Donahoe, D.C.
- Chiropractor
- Sherwood, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3047
- Practice address
- 22021 SW Sherwood Blvd
Sherwood, OR 97140-9327 - Phone
- (503) 625-2290
- Fax
- (503) 625-6297
- NPI assigned
- Jul 17, 2006
- Last updated
- Dec 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH-8948 | FL | |
| Chiropractor | 111N00000X | 3047 | OR | Primary |
Addresses
Primary practice location
22021 SW Sherwood Blvd
Sherwood, OR 97140-9327
Mailing address
22021 SW Sherwood Blvd
Sherwood, OR 97140-9327
Phone (503) 625-2290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20055 SW Pacific Hwy
Suite 210
Sherwood, OR 97140-9294
Phone (503) 625-2290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH-8948 | FL | MD | Chiropractor |
| 3047 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innate Health Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
20055 SW Pacific Hwy
Ste 210
Sherwood, OR 97140
Phone (503) 625-2225
22021 SW Sherwood Blvd
Sherwood, OR 97140
Phone (503) 625-2290
Organizations & group practices 1
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.
-
- Chiropractor
- Sherwood, OR
- NPI 1326679622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1467470443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22021 SW SHERWOOD BLVD",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409327",
"telephone_number": "503-625-2290",
"fax_number": "503-625-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22021 SW SHERWOOD BLVD",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409327",
"telephone_number": "503-625-2290",
"fax_number": "503-625-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAHOE",
"first_name": "BRADLEY",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH-8948",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, OR
- Molly Elizabeth Devos
- Mamie D Diaz, PA
- Timothy Dietz, LPC
- Gabriella Yakira Dolhonde
- Timothy Robert Dominick, D.P.T.
- Eileen Elizabeth Dove
- Nathan Stephen Doyel, DMD
- Dr Levi Pratt LLC
- Dr. Wendy R. Abraham (Sherwood Natural Medicine & Reflexology)
- Dr. Wendy R. Abraham, LLC (Sherwood Natural Medicine & Reflexology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.