Individual provider Active NPI

Reuben James Mickel, D.C.

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1790812709
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033962 Issued in WA
Practice address
8000 NE Parkway Drive
Suite 260
Vancouver, WA 98662-6744
Phone
(360) 576-1600
Fax
(360) 693-0078
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033962 WA Primary

Addresses

Primary practice location

8000 NE Parkway Drive
Suite 260
Vancouver, WA 98662-6744

Mailing address

8000 NE Parkway Drive
Suite 260
Vancouver, WA 98662-6744
Phone (360) 576-1600

Other practice location 1

6204 NE Highway 99
Suite C
Vancouver, WA 98665-8746
Phone (360) 576-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000095 WA Practitioner - Chiropractic 0042370199

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6204 NE Hwy 99 C
Vancouver, WA 98665-8746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00033962WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Solutions, LLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

6204 NE Highway 99
Ste C
Vancouver, WA 98665
Phone (360) 213-2999

8000 NE Parkway Dr
Ste 260
Vancouver, WA 98662
Phone (360) 576-1600

4421 NE St Johns Rd
Ste F
Vancouver, WA 98661
Phone (360) 253-2822

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1790812709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 NE PARKWAY DRIVE",
            "address_2": "SUITE 260",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626744",
            "telephone_number": "360-576-1600",
            "fax_number": "360-693-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 NE PARKWAY DRIVE",
            "address_2": "SUITE 260",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626744",
            "telephone_number": "360-576-1600",
            "fax_number": "360-693-0078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6204 NE Highway 99",
            "address_2": "SUITE C",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658746",
            "country_code": "US",
            "telephone_number": "360-576-1600",
            "fax_number": "360-693-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKEL",
        "first_name": "REUBEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.