Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861427627 Individual Practitioner Male Practitioner

Dr. Shane Alan Gofourth , DC

Chiropractor • Veneta, OR

Professional Overview & Biography Verified Profile Summary

Dr. Shane Gofourth, DC is a registered healthcare professional specializing in Chiropractor in Veneta, OR. Practice services are available at 88124 TERRITORIAL RD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

88124 Territorial Rd.

Veneta, OR 97487

Telephone 5419352242
Fax 5419352242

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Veneta, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Veneta, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 27 3292

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Omap
228849 (OR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location June 14, 2019

Registered at 88124 TERRITORIAL RD., VENETA, OR 97487 (Tel: 5419352242)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 88080 TERRITORIAL RD., VENETA, OR 97487 (Tel: 5419352242)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1108, VENETA, OR 974871108 (Tel: 5419352242)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHANE GOFOURTH, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #27 3292 in OR)

🟢
Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861427627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: June 14, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 1108

Veneta, OR 974871108

Phone: 5419352242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.