Active NPI
Darcelle Tetzlaff, DC
- Chiropractor
- Portland, OR
National Provider Identifier
1154771145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5732
- Practice address
- 5939 SE Belmont St Unit a
Portland, OR 97215-1994 - Phone
- (503) 231-8877
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Chiropractor | 111N00000X | 5732 | OR | Primary |
Addresses
Primary practice location
5939 SE Belmont St Unit a
Portland, OR 97215-1994
Mailing address
5939 SE Belmont St Unit a
Portland, OR 97215-1994
Phone (503) 231-8877
Other names 1
- Darcy Tetzlaff
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5732 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duncan Health Centers, LLC | Past | Accepting new patients | |
| Nam Hoon Kim PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Clinic/Center
- Beaverton, OR
- NPI 1669875480
-
- Chiropractor
- Beaverton, OR
- NPI 1336646744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1154771145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5939 SE BELMONT ST UNIT A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151994",
"telephone_number": "503-231-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5939 SE BELMONT ST UNIT A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151994",
"telephone_number": "503-231-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TETZLAFF",
"first_name": "DARCELLE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DARCY",
"last_name": "TETZLAFF",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}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 Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.