Individual provider Active NPI

Cliff J Marhoefer, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1669691226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272734 Issued in OR
Practice address
1222 SE Division St
Portland, OR 97202-1017
Phone
(503) 231-9879
Fax
(503) 233-4732
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 272734 OR Primary

Addresses

Primary practice location

1222 SE Division St
Portland, OR 97202-1017

Mailing address

1222 SE Division St
Portland, OR 97202-1017
Phone (503) 231-9879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000130 OR Practitioner - Chiropractic 6800870890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawthorne Chiropractic PCGroup PAC ID 8628052727, 3 clinicians

Practice addresses (Care Compare)

1222 SE Division St
Portland, OR 97202-1017
Phone (503) 231-9879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
272734ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pate Acupuncture & Chinese Medicine PastSince Mar 10, 2015 Accepting new patients

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669691226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021017",
            "telephone_number": "503-231-9879",
            "fax_number": "503-233-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021017",
            "telephone_number": "503-231-9879",
            "fax_number": "503-233-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARHOEFER",
        "first_name": "CLIFF",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272734",
            "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 Jul 8, 2007; 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.