Individual provider Active NPI

Andersen Rae Young

  • Rehabilitation Chiropractor
  • Hood River, OR
National Provider Identifier
1801694062
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
6439 Issued in OR
Practice address
501 Portway Ave
Hood River, OR 97031-1284
Phone
(541) 406-0849
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 6439 OR Primary

Addresses

Primary practice location

501 Portway Ave
Hood River, OR 97031-1284

Mailing address

317 N 8TH St
Mount Vernon, WA 98273-3324
Phone (425) 533-7862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514002795 OR Practitioner - Chiropractic 3577081454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood River Chiropractic and Wellness LLCGroup PAC ID 3173797305, 3 clinicians

Practice addresses (Care Compare)

501 Portway Ave
Suite 203
Hood River, OR 97031-1288
Phone (503) 704-1206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6439ORMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hood River Chiropractic &Wellness, LLC CurrentSince Mar 3, 2025 Accepting new patients

Locations

501 Portway Ave
Ste 203
Hood River, OR 97031
Phone (503) 704-1206

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1801694062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N 8TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733324",
            "telephone_number": "425-533-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PORTWAY AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311284",
            "telephone_number": "541-406-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANDERSEN",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": "6439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.