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DR. KENNETH LEE CRANDELL DC
NPI 1225066632
Chiropractor in Portland, OR

Active since June 28, 2006
11657 NE GLISAN, PORTLAND, OR 97220(503) 252-5118(503) 252-3199 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Lee Crandell Dc NPPES

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

DR. KENNETH LEE CRANDELL DC (NPI 1225066632) is an individual chiropractor in Portland, Oregon, licensed in Oregon (1923) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1225066632
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENNETH LEE CRANDELLCredential: DC
Location Address11657 NE GLISANPortland, OR 97220
Mailing Address11657 Ne GlisanPortland, OR 97220 · (503) 252-5118 · Fax (503) 252-3199
Phone(503) 252-5118
Fax(503) 252-3199
Sole ProprietorYes
Enumeration DateJune 28, 2006
Last NPPES UpdateNovember 16, 2011
✔ NPI 1225066632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 1923
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.
11657 NE GLISAN, Portland, OR 97220
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Other Identifiers 2

Medicare ID-Type Unspecified0000QGCRM
Medicaid072702OR

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 Kenneth Crandell's NPI number?

The NPI number for Kenneth Crandell is 1225066632. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Kenneth Crandell located?

Kenneth Crandell practices at 11657 NE Glisan, Portland, OR 97220. The listed phone number is (503) 252-5118.

What is Kenneth Crandell's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Crandell was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.