Active NPI
Rob D Bodner, D.C., LMT
- Chiropractor
- Portland, OR
National Provider Identifier
1881925469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3993
- Practice address
- 3735 SE Division St
Portland, OR 97202-1547 - Phone
- (503) 502-1379
- Fax
- (503) 488-5584
- NPI assigned
- Jan 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3993 | OR | Primary |
Addresses
Primary practice location
3735 SE Division St
Portland, OR 97202-1547
Mailing address
6501 SW Macadam Ave # 8232
Portland, OR 97239-3553
Phone (503) 977-0060
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3993 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1881925469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 SW MACADAM AVE # 8232",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393553",
"telephone_number": "503-977-0060",
"fax_number": "503-977-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3735 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021547",
"telephone_number": "503-502-1379",
"fax_number": "503-488-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODNER",
"first_name": "ROB",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C., LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-21",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3993",
"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 Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.