Individual provider Active NPI

Geovanny Vazquez, DC

  • Chiropractor
  • Sherwood, OR
National Provider Identifier
1477304244
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6379 Issued in OR
Practice address
20055 SW Pacific Hwy Ste 210
Sherwood, OR 97140-9294
Phone
(503) 625-2225
Fax
(503) 925-8840
NPI assigned
Mar 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6379 OR Primary

Addresses

Primary practice location

20055 SW Pacific Hwy Ste 210
Sherwood, OR 97140-9294

Mailing address

20055 SW Pacific Hwy Ste 210
Sherwood, OR 97140-9294
Phone (503) 625-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103000604 OR Practitioner - Chiropractic 1557801966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
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) 625-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Chiropractic PC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Hartwell Chiropractic and Wellness Center P.C. Chiropractor CurrentSince Nov 26, 2024 Accepting new patients
Vazquez LLC Chiropractor CurrentSince Jun 17, 2025 Accepting new patients

Locations

170 NW 2nd Ave
Canby, OR 97013
Phone (503) 266-2997

20055 SW Pacific Hwy
Ste 210
Sherwood, OR 97140
Phone (503) 625-2225

Organizations & group practices 3

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": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1477304244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20055 SW PACIFIC HWY STE 210",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409294",
            "telephone_number": "503-625-2225",
            "fax_number": "503-925-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 SW PACIFIC HWY STE 210",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409294",
            "telephone_number": "503-625-2225",
            "fax_number": "503-925-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "GEOVANNY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-29",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.