Individual provider Active NPI

Amy Elizabeth Goebel, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1700486958
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6085 Issued in OR
Practice address
905 SE Ankeny St
Portland, OR 97214-1349
Phone
(971) 236-7610
Fax
(503) 954-1504
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6085 OR Primary

Addresses

Primary practice location

905 SE Ankeny St
Portland, OR 97214-1349

Mailing address

905 SE Ankeny St
Portland, OR 97214-1349
Phone (971) 236-7610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218000800 OR Practitioner - Chiropractic 4981124237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Hosmer Chiropractic Health LLCGroup PAC ID 6507025228, 9 clinicians

Practice addresses (Care Compare)

7689 SW Capitol Hwy
Portland, OR 97219-2475
Phone (503) 293-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hosmer Chiropractic Health LLC CurrentSince Jan 6, 2025 Accepting new patients
Counseling on Burnside PastSince Apr 1, 2021 Accepting new patients
Dyson Enterprises Inc Chiropractor PastSince Apr 1, 2021 Accepting new patients

Locations

1030 NW Marshall St
Portland, OR 97209
Phone (503) 227-2279

7689 SW Capitol Hwy
Portland, OR 97219
Phone (503) 445-4454

Organizations & group practices 3

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1700486958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141349",
            "telephone_number": "971-236-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141349",
            "telephone_number": "971-236-7610",
            "fax_number": "503-954-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6085",
            "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 May 30, 2023; 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.