Active NPI
Marie Nathalie France Gravel, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1306260765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5523
- Practice address
- 4936 SW 60TH PL
Apt #1
Portland, OR 97221-1146 - Phone
- (503) 270-1693
- NPI assigned
- Feb 5, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5523 | OR | Primary |
Addresses
Primary practice location
4936 SW 60TH PL
Apt #1
Portland, OR 97221-1146
Mailing address
4936 SW 60TH PL
Apt #1
Portland, OR 97221-1146
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 |
|---|---|---|---|
| 5523 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1306260765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4936 SW 60TH PL",
"address_2": "APT #1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4936 SW 60TH PL",
"address_2": "APT #1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211146",
"telephone_number": "503-270-1693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVEL",
"first_name": "MARIE NATHALIE",
"middle_name": "FRANCE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5523",
"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 Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.