EVERGREEN CHIROPRACTIC
NPI 1003423914
Chiropractor in Gresham, OR

Q: What is Evergreen Chiropractic PC's NPI number?

The NPI number for Evergreen Chiropractic PC is 1003423914. It was assigned to this organization in the NPPES registry on September 24, 2020. The provider is doing business as Evergreen Chiropractic.

Q: What is Evergreen Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since September 24, 2020

657 NE HOOD AVE, GRESHAM, OR 97030(503) 912-1156(971) 292-2932 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2021, Feb 5, 2021, Jan 20, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Evergreen Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN CHIROPRACTIC (NPI 1003423914) is a healthcare organization registered as a chiropractor in Gresham, Oregon and active in the NPI registry since September 2020. The organization lists Michael Jared Manns, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1003423914

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameEVERGREEN CHIROPRACTIC PC

Location Address657 NE HOOD AVEGresham, OR 97030-7328

Mailing Address5920 Burma RdLake Oswego, OR 97035-3240 · (971) 330-8017

Phone(503) 912-1156

Fax(971) 292-2932

Organization SubpartNo

Authorized OfficialMichael Jared MannsChiropractor/owner · (503) 912-1156

Enumeration DateSeptember 24, 2020

Last NPPES UpdateMarch 5, 20214 updates tracked since enumeration

NPPES CertifiedMarch 5, 2021

✔ NPI 1003423914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

657 NE HOOD AVE, Gresham, OR 97030

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Other Names 1

Doing Business AsEvergreen Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evergreen Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Manns, DC

Chiropractic

NPI 1912554692

657 NE HOOD AVE
Gresham, OR 97030

(503) 912-1156

Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Chiropractic PC's NPI number?

The NPI number for Evergreen Chiropractic PC is 1003423914. It was assigned to this organization in the NPPES registry on September 24, 2020. The provider is doing business as Evergreen Chiropractic.

Where is Evergreen Chiropractic PC located?

Evergreen Chiropractic PC is located at 657 NE Hood Ave, Gresham, OR 97030. The listed phone number is (503) 912-1156.

What is Evergreen Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Evergreen Chiropractic PC enrolled in Medicare?

Yes. Evergreen Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Evergreen Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Evergreen Chiropractic PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Evergreen Chiropractic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Chiropractic PC was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.