Individual provider Active NPI

Forrest Gowen Redwood, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1649864265
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6127 Issued in OR
Practice address
14115 SE Division St
Portland, OR 97236-2628
Phone
(503) 841-6633
NPI assigned
Feb 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6127 OR Primary

Addresses

Primary practice location

14115 SE Division St
Portland, OR 97236-2628

Mailing address

14115 SE Division St
Portland, OR 97236-2628
Phone (503) 841-6633

Other names 1

  • Forrest Edward Gowen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710003728 OR Practitioner - Chiropractic 6305205279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5939 SE Belmont St
Unit a
Portland, OR 97215-1994
Phone (503) 231-8877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6127ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Chiropractic and Wellness LLC Chiropractor CurrentSince Jun 12, 2023 Accepting new patients

Locations

5939 SE Belmont St
Unit A
Portland, OR 97215
Phone (503) 231-8877

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1649864265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14115 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362628",
            "telephone_number": "503-841-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14115 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362628",
            "telephone_number": "503-841-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWOOD",
        "first_name": "FORREST",
        "middle_name": "GOWEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FORREST",
            "last_name": "GOWEN",
            "middle_name": "EDWARD",
            "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 Oct 12, 2021; 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.