Individual provider Active NPI

Gretchen Gatzke, DC, MS

  • Chiropractor
  • Portland, OR
National Provider Identifier
1861107658
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6281 Issued in OR
Practice address
3715 SE Cesar E Chavez Blvd
Portland, OR 97202-1704
Phone
(646) 740-1538
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 6281 OR Primary

Addresses

Primary practice location

3715 SE Cesar E Chavez Blvd
Portland, OR 97202-1704

Mailing address

13019 SE Lincoln St
Portland, OR 97233-1435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6281ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Healing Collective LLC Chiropractor CurrentSince Apr 9, 2023 Accepting new patients
Cascade Chiropractic and Wellness LLC Chiropractor CurrentSince Jan 22, 2023 Accepting new patients

Locations

3715 SE Cesar E Chavez Blvd
Portland, OR 97202
Phone (503) 257-1324

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1861107658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13019 SE LINCOLN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 SE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021704",
            "telephone_number": "646-740-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATZKE",
        "first_name": "GRETCHEN",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6281",
            "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 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.