Individual provider Active NPI

Raleigh Christine Sekulic, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1528435385
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5670 Issued in OR
Practice address
4412 S Barbur Blvd
Suite 220
Portland, OR 97239
Phone
(503) 676-6728
Fax
(503) 676-3316
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 5670 OR
Pediatric Chiropractor 111NP0017X 5670 OR
Chiropractor 111N00000X 5670 OR Primary

Addresses

Primary practice location

4412 S Barbur Blvd
Suite 220
Portland, OR 97239

Mailing address

4412 S Barbur Blvd
Suite 220
Portland, OR 97239
Phone (503) 676-6728

Other names 1

  • Raleigh Beth Warren Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924002713 OR Practitioner - Chiropractic 1557679503 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4412 S Barbur Blvd
Suite 220
Portland, OR 97239-4087
Phone (503) 676-6728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5670ORMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1528435385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 S BARBUR BLVD",
            "address_2": "SUITE 220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-676-6728",
            "fax_number": "503-676-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 S BARBUR BLVD",
            "address_2": "SUITE 220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-676-6728",
            "fax_number": "503-676-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKULIC",
        "first_name": "RALEIGH",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2025-02-28",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "5670",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "OR",
            "license": "5670",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALEIGH",
            "last_name": "WARREN",
            "middle_name": "BETH",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 28, 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.