Active NPI
Marcelitte Theresa Failla, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1316485345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2930
- Practice address
- 3539 N Williams Ave
2
Portland, OR 97227-1437 - Phone
- (503) 228-6140
- NPI assigned
- Feb 10, 2017
- Last updated
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 2930 | OR | Primary |
Addresses
Primary practice location
3539 N Williams Ave
2
Portland, OR 97227-1437
Mailing address
3539 N Williams Ave
2
Portland, OR 97227-1437
Phone (503) 228-6140
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2930 | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1316485345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3539 N WILLIAMS AVE",
"address_2": "2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271437",
"telephone_number": "503-228-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3539 N WILLIAMS AVE",
"address_2": "2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271437",
"telephone_number": "503-228-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAILLA",
"first_name": "MARCELITTE",
"middle_name": "THERESA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-10",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "2930",
"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 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.