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DR. STEFAN MICHAEL HEROLD D.C.
NPI 1710972724
Chiropractor in Portland, OR

Active since September 15, 2005
1221 SE MADISON ST, PORTLAND, OR 97214(503) 445-7767(503) 459-4221 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stefan Michael Herold D.c. NPPES

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

DR. STEFAN MICHAEL HEROLD D.C. (NPI 1710972724) is an individual chiropractor in Portland, Oregon, licensed in Oregon (3814) and active in the NPI registry since September 2005. He is a graduate of Northwestern College Of Chiropractic (2002).

NPPES Registry Identity

NPI1710972724
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. STEFAN MICHAEL HEROLDCredential: D.C.
Location Address1221 SE MADISON STPortland, OR 97214-3890
Mailing Address13150 Se Salmon StPortland, OR 97233-1653 · (503) 408-6758
Phone(503) 445-7767
Fax(503) 459-4221
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2002
Enumeration DateSeptember 15, 2005
Last NPPES UpdateSeptember 26, 2012
✔ NPI 1710972724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 3814
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.
1221 SE MADISON ST, Portland, OR 97214
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Other Identifiers 2

Other26-3010616Federal Tax Id Number
Medicare UPINU98221

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stefan Michael Herold D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395635924
PECOS Enrollment IDI20090106000396

Other Providers at the Same Location NPPES 17

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

DAVID FORREST WILBURN L.AC.
Acupuncturist
1221 SE MADISON ST
PORTLAND, OR 97214
Multnomah County (503) 593-5319
CHRISTOPHER HATLESTAD, MD, PC
Clinic/Center (Primary Care)
1221 SE MADISON ST
PORTLAND, OR 97214
Multnomah County (503) 212-4488
MR. THOMAS SPENCER LEEK JR. LMT
Massage Therapist
1221 SE MADISON ST
PORTLAND, OR 97214
Multnomah County (503) 501-7581
BENEVOLENCE HEALING ARTS LLC
Acupuncturist
1221 SE MADISON ST
PORTLAND, OR 97214
Multnomah County (503) 445-7767
IMMERSION ENTERPRISES LLC
Acupuncturist
1221 SE MADISON ST
PORTLAND, OR 97214
Multnomah County (503) 719-4806
LORI HULSING N.D.
Naturopath
1221 SE MADISON ST
PORTLAND, OR 97214
Multnomah County (503) 445-7767
DR. CARMEN HELEN RIPLEY ND
Naturopath
1221 SE MADISON ST
PORTLAND, OR 97214
Multnomah County (503) 445-7767
SARAH GRUMBLING LMT
Massage Therapist
1221 SE MADISON ST
PORTLAND, OR 97214
Multnomah County (503) 445-7767

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 Stefan Herold's NPI number?

The NPI number for Stefan Herold is 1710972724. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Stefan Herold located?

Stefan Herold practices at 1221 SE Madison St, Portland, OR 97214. The listed phone number is (503) 445-7767.

What is Stefan Herold's specialty?

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

Is Stefan Herold enrolled in Medicare?

Yes. Stefan Herold is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stefan Herold was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.