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DR. CHARLES COUGHLIN DC
NPI 1407452287
Chiropractor in Gresham, OR

Active since December 08, 2020
22124 NE GLISAN ST, GRESHAM, OR 97030(503) 618-0147 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Charles Coughlin Dc NPPES

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

DR. CHARLES COUGHLIN DC (NPI 1407452287) is an individual chiropractor in Gresham, Oregon, licensed in Oregon (6099) and active in the NPI registry since December 2020. He is a graduate of Western States College Of Chiropractic (2020).

NPPES Registry Identity

NPI1407452287
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHARLES COUGHLINCredential: DC
Location Address22124 NE GLISAN STGresham, OR 97030-8553
Mailing Address22124 Ne Glisan StGresham, OR 97030-8553 · (503) 618-0147
Phone(503) 618-0147
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2020
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1407452287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 6099
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.
22124 NE GLISAN ST, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Coughlin Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850704719
PECOS Enrollment IDI20210113003119

Medicare Billing Reassignment

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

Portland Chiropractic Group Inc
10 mi
Chiropractor
2031 E BURNSIDE ST
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 5 clinicians in this Medicare group
NPI 1134393556 (503) 224-2100

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 5

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

DOMINIQUE GARRISON LMT
Massage Therapist
22124 NE GLISAN ST
GRESHAM, OR 97030
Multnomah County (503) 618-0147
BRIANNA LEE BRIGGS LMT
Massage Therapist
22124 NE GLISAN ST
GRESHAM, OR 97030
Multnomah County (503) 618-0147
MICHELE LYNN CATES LMT
Massage Therapist
22124 NE GLISAN ST
GRESHAM, OR 97030
Multnomah County (503) 618-0147
MEGAN KALLAS L.M.T.
Massage Therapist
22124 NE GLISAN ST
GRESHAM, OR 97030
Multnomah County (503) 618-0147
MELEAH ORAZIO PREVO LMT
Massage Therapist
22124 NE GLISAN ST
GRESHAM, OR 97030
Multnomah County (503) 618-0147

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 Charles Coughlin's NPI number?

The NPI number for Charles Coughlin is 1407452287. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Charles Coughlin located?

Charles Coughlin practices at 22124 NE Glisan St, Gresham, OR 97030. The listed phone number is (503) 618-0147.

What is Charles Coughlin's specialty?

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

Is Charles Coughlin enrolled in Medicare?

Yes. Charles Coughlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Coughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Coughlin reassigns Medicare benefits to Portland Chiropractic Group Inc (Portland, OR). 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 Charles Coughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Coughlin accept?

Health plans from Moda Health Plan, Inc. list Charles Coughlin 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 Charles Coughlin was last updated on December 8, 2020. 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.