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DR. DOUGLASS MCROBERTS KLOBUTCHER D.C.
NPI 1093262842
Chiropractor in Vancouver, WA

Active since September 08, 2016
605 SE 164TH AVE STE 101, VANCOUVER, WA 98684(360) 567-1205(630) 468-1478 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Douglass Mcroberts Klobutcher D.c. NPPES

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

DR. DOUGLASS MCROBERTS KLOBUTCHER D.C. (NPI 1093262842) is an individual chiropractor in Vancouver, Washington, licensed in Washington (CH60683062) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1093262842
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DOUGLASS MCROBERTS KLOBUTCHERCredential: D.C.
Location Address605 SE 164TH AVE STE 101Vancouver, WA 98684-9297
Mailing Address605 Se 164th Ave Ste 101Vancouver, WA 98684-9297 · (360) 567-1205 · Fax (630) 468-1478
Phone(360) 567-1205
Fax(630) 468-1478
Sole ProprietorNo
Enumeration DateSeptember 8, 2016
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1093262842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH60683062
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.
605 SE 164TH AVE STE 101, Vancouver, WA 98684
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglass Mcroberts Klobutcher D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Douglass Klobutcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Opdahl Chiropractic Office Inc.
12 mi
Chiropractor
105 N PARKWAY AVE STE 101
Battle Ground, WA 98604
  • Reassigned Medicare billing, Washington enrollment
  • 18 clinicians in this Medicare group
NPI 1134315781 (360) 666-6001

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIOLET ARRAS DC
Chiropractor
605 SE 164TH AVE STE 101
VANCOUVER, WA 98684
Clark County (360) 567-1205
CHIRO ONE WELLNESS CENTER OF FISHERS LANDING, PLLC
Chiropractor
605 SE 164TH AVE STE 101
VANCOUVER, WA 98684
Clark County (360) 567-1205

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 Douglass Klobutcher's NPI number?

The NPI number for Douglass Klobutcher is 1093262842. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Douglass Klobutcher located?

Douglass Klobutcher practices at 605 SE 164th Ave Ste 101, Vancouver, WA 98684. The listed phone number is (360) 567-1205.

What is Douglass Klobutcher's specialty?

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

Is Douglass Klobutcher enrolled in Medicare?

Yes. Douglass Klobutcher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglass Klobutcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglass Klobutcher reassigns Medicare benefits to Opdahl Chiropractic Office Inc. (Battle Ground, WA). The 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 Douglass Klobutcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglass Klobutcher was last updated on March 10, 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.