Individual provider Active NPI

Adam D Isfeld, DC

  • Sports Physician Chiropractor
  • Milwaukie, OR
National Provider Identifier
1669974663
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5883 Issued in OR
Practice address
3716 SE International Way
Milwaukie, OR 97222-6001
Phone
(503) 659-0073
Fax
(503) 654-7471
NPI assigned
Mar 6, 2018
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5883 OR
Sports Physician Chiropractor 111NS0005X 5883 OR Primary

Addresses

Primary practice location

3716 SE International Way
Milwaukie, OR 97222-6001

Mailing address

3716 SE International Way
Milwaukie, OR 97222-6001
Phone (503) 659-0073

Other practice location 1

4370 SE King Rd # Set220
Milwaukie, OR 97222-1607
Phone (503) 654-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180628000448 OR Practitioner - Chiropractic 1850647231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Wellness Center LLCGroup PAC ID 8123398526, 4 clinicians

Practice addresses (Care Compare)

1954 SE 182ND Ave
Portland, OR 97233-5602
Phone (425) 800-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5883ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wellness Center LLC Chiropractor CurrentSince Nov 18, 2024 Accepting new patients
Physicians First LLC Chiropractor CurrentSince Jul 1, 2025 Accepting new patients
Keith D. Johns D.C., P.C. Chiropractor CurrentSince Apr 21, 2024 Accepting new patients
Milwaukie Chiropractic Center Chiropractor PastSince Apr 21, 2024 Accepting new patients

Locations

11750 SW Barnes Rd
Ste 240
Portland, OR 97225
Phone (503) 389-6962

1954 SE 182nd Ave
Portland, OR 97233
Phone (425) 800-5007

3150 SE Belmont St
Portland, OR 97214
Phone (503) 389-5545

3716 SE International Way
Portland, OR 97222
Phone (503) 659-0073

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1669974663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 SE INTERNATIONAL WAY",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226001",
            "telephone_number": "503-659-0073",
            "fax_number": "503-654-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 SE INTERNATIONAL WAY",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226001",
            "telephone_number": "503-659-0073",
            "fax_number": "503-654-7471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4370 SE King Rd # Set220",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972221607",
            "country_code": "US",
            "telephone_number": "503-654-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISFELD",
        "first_name": "ADAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5883",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.