DR. LANCE RICHARD VANDERLOO (D.C.) – Chiropractor, NPI 1013212489

DR. LANCE RICHARD VANDERLOO (D.C.) is a healthcare provider. based in Portland, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 007388 (IA). The NPI Number for DR. LANCE RICHARD VANDERLOO (D.C.) is 1013212489

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. LANCE RICHARD VANDERLOO (D.C.)
NPI
1013212489
Phone
(971) 255-1922
Address
2230 W BURNSIDE ST STE D
Enumeration Date
17 January 2011
Last Update Date
28 January 2015

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
5412454444
Graduation Year
2010 (16 years ago)
PAC ID
6305021684
Group Practice PAC ID
0345281671
Professional Enrollment ID
I20150702001816
Address ID
OR975048127ME2931XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

709 CHIROPRACTIC in OR

Provider Addresses for DR. LANCE RICHARD VANDERLOO (D.C.)

  • 2230 W BURNSIDE ST STE D

    PORTLAND, OR 972103727

    Phone: (971) 255-1922

    Fax: (971) 250-2884

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150702001816IChiropracticORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345281671View full group profile
NameSpecialtyState
-OR
C H I R O P R A C T I COR
C H I R O P R A C T I COR
C H I R O P R A C T I COR
-OR
C H I R O P R A C T I COR
-OR
C H I R O P R A C T I CTX

Reviews

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Frequently asked questions

What is the registry number for DR. LANCE RICHARD VANDERLOO (D.C.)?
The registry entry for DR. LANCE RICHARD VANDERLOO (D.C.) shows NPI 1013212489.
Quick check: is DR. LANCE RICHARD VANDERLOO (D.C.) active?
Public NPPES data shows DR. LANCE RICHARD VANDERLOO (D.C.) with an active NPI status right now.
What services align with DR. LANCE RICHARD VANDERLOO (D.C.)'s listing?
DR. LANCE RICHARD VANDERLOO (D.C.)'s public classification highlights Chiropractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LANCE RICHARD VANDERLOO (D.C.)?
DR. LANCE RICHARD VANDERLOO (D.C.) is associated with Portland, Oregon in the same public data insurers reference.
Can I export DR. LANCE RICHARD VANDERLOO (D.C.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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