Individual provider Active NPI

Alisha Graboyes, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1780496620
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6428 Issued in OR
Practice address
2403 NW Thurman St
Portland, OR 97210-2522
Phone
(503) 716-6164
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6428 OR Primary

Addresses

Primary practice location

2403 NW Thurman St
Portland, OR 97210-2522

Mailing address

12140 SW McKay CT
Beaverton, OR 97008-7014
Phone (360) 771-6875

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430003629 OR Practitioner - Chiropractic 5890211908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Rhodes Chiropractic, LLCGroup PAC ID 9830551787, 5 clinicians

Practice addresses (Care Compare)

12005 SW 70TH Ave
Tigard, OR 97223-9634
Phone (503) 208-3579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodes Chiropractic, LLC Chiropractor CurrentSince Apr 1, 2025 Accepting new patients
Portland Backsmith Chiropractic LLC Chiropractor PastSince Feb 2, 2025 Accepting new patients

Locations

12005 SW 70th Ave
Tigard, OR 97223
Phone (503) 208-3579

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, 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": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1780496620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 SW MCKAY CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087014",
            "telephone_number": "360-771-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102522",
            "telephone_number": "503-716-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOYES",
        "first_name": "ALISHA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6428",
            "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 Jan 27, 2025; 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.