Individual provider Active NPI

Donald Raymond White Jr., DC, RN

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1912951534
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272659 Issued in OR
Practice address
12850 SW Canyon Rd
Beaverton, OR 97005-2106
Phone
(503) 641-8000
Fax
(503) 520-9159
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 272659 OR Primary

Addresses

Primary practice location

12850 SW Canyon Rd
Beaverton, OR 97005-2106

Mailing address

12850 SW Canyon Rd
Beaverton, OR 97005-2106
Phone (503) 641-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061020000198 OR Practitioner - Chiropractic 7911903687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12850 SW Canyon Rd
Canyon Road Chiropractic and Massage
Beaverton, OR 97005-2166
Phone (503) 641-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
272659ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Don White RN DC PC Chiropractor CurrentSince May 1, 2007 Accepting new patients

Locations

12850 SW Canyon Rd
Beaverton, OR 97005
Phone (503) 641-8000

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912951534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 SW CANYON RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052106",
            "telephone_number": "503-641-8000",
            "fax_number": "503-520-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 SW CANYON RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052106",
            "telephone_number": "503-641-8000",
            "fax_number": "503-520-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DONALD",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.