Active NPI
Randall Hugh Leavitt, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1982787891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 273413
- Practice address
- 2330 NW Flanders St Ste 101
Portland, OR 97210-3400 - Phone
- (503) 228-5000
- Fax
- (503) 228-5019
- NPI assigned
- Oct 23, 2006
- Last updated
- May 16, 2025
- 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 | 273413 | OR | Primary |
Addresses
Primary practice location
2330 NW Flanders St Ste 101
Portland, OR 97210-3400
Mailing address
9437 NW Germantown Rd
Portland, OR 97231-2719
Phone (503) 816-2184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320163233 | Other | OR | TID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250128002392 | OR | Practitioner - Chiropractic | 1153850763 | Practice locations: Portland, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273413 | OR | MD | Chiropractor |
| 3413 | OR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Chiropractic LLC | Past | Accepting new patients | |
| Kwan Yin Healing Arts Center | Chiropractor | Past | Accepting new patients |
| Attunement Wellness LLC | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- randy.leavitt.1@29632.direct.athenahealth.com
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.
-
- Health Service Clinic/Center
- Portland, OR
- NPI 1346407244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1982787891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9437 NW GERMANTOWN RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972312719",
"telephone_number": "503-816-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 NW FLANDERS ST STE 101",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103400",
"telephone_number": "503-228-5000",
"fax_number": "503-228-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "RANDALL",
"middle_name": "HUGH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "273413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TID",
"identifier": "320163233",
"state": "OR"
}
],
"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 May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.