NPIMap

Organization Active NPI

Asula Chiropractic and Wellness Center, Inc.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1245474956
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ASULA CHIROPRACTIC AND WELLNESS CENTER, INC.
Practice address
818 NW Marshall
Portland, OR 97209
Phone
(503) 719-5335
Fax
(503) 719-5334
NPI assigned
Apr 24, 2009
Last updated
May 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Dr. Laila Marie Noll, D.C.NPI 1699810333
Title
Owner and Chiropractor
Phone
(503) 719-5335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Acupuncturist 171100000X
Naturopath 175F00000X

Addresses

Primary practice location

818 NW Marshall
Portland, OR 97209

Mailing address

818 NW Marshall St
Portland, OR 97209-3295
Phone (503) 719-5335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120125000972 OR Part B Supplier - Clinic/Group Practice 0244407617 Receives reassigned benefits from 10 practitioners
Practice locations: Lake Oswego, OR; Portland, OR

National Provider Directory

National Provider Directory

Locations

4847 Meadows Rd
Ste 153
Lake Oswego, OR 97035
Phone (971) 330-8578

818 NW Marshall St
Portland, OR 97209
Phone (503) 719-5335

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1245474956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 NW MARSHALL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093295",
            "telephone_number": "503-719-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 NW MARSHALL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "503-719-5335",
            "fax_number": "503-719-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASULA CHIROPRACTIC AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "LAILA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER AND CHIROPRACTOR",
        "authorized_official_telephone_number": "503-719-5335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.