Individual provider Active NPI

Danielle Gonzales

  • Chiropractor
  • Portland, OR
National Provider Identifier
1619644705
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6218 Issued in OR
Practice address
17020 SW Upper Boones Ferry Rd Ste 302
Portland, OR 97224-7078
Phone
(971) 205-4542
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 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 6218 OR Primary

Addresses

Primary practice location

17020 SW Upper Boones Ferry Rd Ste 302
Portland, OR 97224-7078

Mailing address

17020 SW Upper Boones Ferry Rd Ste 302
Portland, OR 97224-7078
Phone (971) 205-4542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6218ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Demdc LLC Chiropractor CurrentSince Sep 14, 2025 Accepting new patients
Way of Life Chiropractic PS Chiropractor PastSince Aug 1, 2021 Accepting new patients

Locations

3810 SE Division St
Ste C
Portland, OR 97202
Phone (503) 208-2207

Organizations & group practices 2

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1619644705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 SW UPPER BOONES FERRY RD STE 302",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247078",
            "telephone_number": "971-205-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 SW UPPER BOONES FERRY RD STE 302",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247078",
            "telephone_number": "971-205-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.