Individual provider Active NPI

Dale R Marcum, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1952479867
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3409 Issued in OR
Practice address
4310 N Interstate Ave
Portland, OR 97217-3211
Phone
(503) 395-4212
Fax
(503) 388-3861
NPI assigned
Nov 30, 2006
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 3409 OR Primary

Addresses

Primary practice location

4310 N Interstate Ave
Portland, OR 97217-3211

Mailing address

12987 SE 155TH Ave
Happy Valley, OR 97086-4416
Phone (971) 409-0096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703001803 OR Practitioner - Chiropractic 9436662228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCSM IncGroup PAC ID 6204078033, 2 clinicians

Practice addresses (Care Compare)

4370 SE King Rd
Suite 220
Milwaukie, OR 97222-1613
Phone (503) 654-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3409ORMDClinical Social Worker
273409ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dale Marcum DC LLC Chiropractor CurrentSince Jul 17, 2026 Accepting new patients
SCSM, Inc Chiropractor CurrentSince Jun 20, 2025 Accepting new patients
Hartwig Chiropractic, LLC Chiropractor PastSince Jul 17, 2026 Accepting new patients

Locations

4370 SE King Rd
Ste 220
Milwaukie, OR 97222
Phone (503) 654-7400

12425 NE Glisan St
Ste B
Portland, OR 97230
Phone (503) 235-7130

4310 N Interstate Ave
Portland, OR 97217
Phone (503) 235-7130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1952479867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12987 SE 155TH AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864416",
            "telephone_number": "971-409-0096",
            "fax_number": "503-388-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972173211",
            "telephone_number": "503-395-4212",
            "fax_number": "503-388-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "DALE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3409",
            "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 Jul 9, 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.