Individual provider Active NPI

Travis Walker

  • Chiropractor
  • Milwaukie, OR
National Provider Identifier
1841892544
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6104 Issued in OR
Practice address
4370 SE King Rd
Milwaukie, OR 97222-1607
Phone
(503) 654-7400
NPI assigned
Nov 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6104 OR Primary

Addresses

Primary practice location

4370 SE King Rd
Milwaukie, OR 97222-1607

Mailing address

4370 SE King Rd
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
I20220908003413 OR Practitioner - Chiropractic 7810371986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1551 NE 4TH St
Bend, OR 97701-4241
Phone (541) 389-9373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6104ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
SCSM Inc. Chiropractor CurrentSince Nov 15, 2020 Accepting new patients
Walker & Walker LLC Chiropractor CurrentSince Nov 26, 2024 Accepting new patients
Kuhn and Kuhn PC Chiropractor CurrentSince May 17, 2022 Accepting new patients

Locations

1551 NE 4th St
Bend, OR 97701
Phone (541) 389-9373

4370 SE King Rd
Portland, OR 97222
Phone (503) 654-7400

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1841892544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 SE KING RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972221607",
            "telephone_number": "503-654-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 SE KING RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972221607",
            "telephone_number": "503-654-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6104",
            "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 Nov 9, 2020; 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.