Individual provider Active NPI

Katherine Kelley Marshall, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1013206390
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
153430 Issued in OR
Practice address
3808 N Williams Ave Ste F
Portland, OR 97227-1468
Phone
(503) 754-9443
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 153430 OR Primary

Addresses

Primary practice location

3808 N Williams Ave Ste F
Portland, OR 97227-1468

Mailing address

PO Box 6855
Portland, OR 97228
Phone (503) 754-9443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
153430ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Marshall, L.Ac. Acupuncturist Current Accepting new patients

Locations

3808 N Williams Ave
Ste F
Portland, OR 97227
Phone (503) 680-0835

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1013206390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6855",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97228",
            "telephone_number": "503-754-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE STE F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271468",
            "telephone_number": "503-754-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KATHERINE",
        "middle_name": "KELLEY",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "153430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.