Individual provider Active NPI

Michael Emmanuel Simele, DC, CCSP, ICSC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1942707393
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5908 Issued in OR
Practice address
18019 SW Lower Boones Ferry Rd
Portland, OR 97224-7228
Phone
(503) 597-8624
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 5908 OR Primary

Addresses

Primary practice location

18019 SW Lower Boones Ferry Rd
Portland, OR 97224-7228

Mailing address

18019 SW Lower Boones Ferry Rd
Portland, OR 97224-7228
Phone (503) 521-7086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191029002242 OR Practitioner - Chiropractic 0244562981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sherwood Boulevard Chiropractic LLCGroup PAC ID 0042548976, 3 clinicians

Practice addresses (Care Compare)

20015 SW Pacific Hwy
Suite 302
Sherwood, OR 97140-9316
Phone (503) 625-0500

21887 SW Sherwood Blvd
Suite a
Sherwood, OR 97140-9412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sherwood Boulevard Chiropractic, LLC Chiropractor CurrentSince Aug 17, 2018 Accepting new patients
Promuveo LLC Chiropractor CurrentSince Dec 13, 2025 Accepting new patients

Locations

20015 SW Pacific Hwy
Ste 302
Sherwood, OR 97140
Phone (503) 625-0500

21887 SW Sherwood Blvd
Ste A
Sherwood, OR 97140
Phone (503) 305-6585

18019 SW Lower Boones Ferry Rd
Tigard, OR 97224
Phone (503) 521-7086

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1942707393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18019 SW LOWER BOONES FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247228",
            "telephone_number": "503-521-7086",
            "fax_number": "503-713-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18019 SW LOWER BOONES FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247228",
            "telephone_number": "503-597-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMELE",
        "first_name": "MICHAEL",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP, ICSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5908",
            "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 Mar 17, 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.