Individual provider Active NPI

Marcela J Vinocur, MD

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1750370680
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD16722 Issued in OR
Practice address
3636 NE Broadway St
Portland, OR 97232-1823
Phone
(503) 548-0346
Fax
(503) 232-5959
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD16722 OR Primary

Addresses

Primary practice location

3636 NE Broadway St
Portland, OR 97232-1823

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502
Phone (971) 217-9008

Other practice location 1

17645 NW Saint Helens Rd
Portland, OR 97231-1729
Phone (503) 621-1069

Other identifiers 2

IdentifierTypeStateIssuer
2076176MedicaidWA
500700499MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000740 OR Practitioner - Psychiatry 6305827916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3636 NW Broadway St
Portland, OR 97232
Phone (503) 548-0346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD16722ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Rehabilitation Assoc Inc CurrentSince Feb 18, 2017 Accepting new patients
Native American Rehabilitation Assoc Inc CurrentSince Feb 18, 2017 Accepting new patients
Sequoia Mental Health Services Inc Past Accepting new patients
Clatsop Behavioral Healthcare PastSince Dec 18, 2023 Accepting new patients
Coos County Oregon Past Accepting new patients
Marion County PastSince Dec 1, 2019 Accepting new patients
Coos County Oregon Past Accepting new patients
Tillamook Family Counseling Center Past Accepting new patients
Native American Rehabilitation Assoc Inc PastSince Sep 28, 2025 Accepting new patients
Marion County Past Accepting new patients

Locations

12360 E Burnside St
Portland, OR 97233
Phone (971) 279-4800

1776 SW Madison St
Portland, OR 97205
Phone (503) 224-1044

17645 NW Saint Helens Rd
Portland, OR 97231
Phone (503) 621-1069

1438 SE Division St
Portland, OR 97202
Phone (503) 548-0346

211 SE Caruthers St
Portland, OR 97214
Phone (503) 224-1044

3636 NE Broadway St
Portland, OR 97232
Phone (503) 548-0346

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tfcc/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/clatsopbh/r4/

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1750370680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SE CARUTHERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144502",
            "telephone_number": "971-217-9008",
            "fax_number": "503-621-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321823",
            "telephone_number": "503-548-0346",
            "fax_number": "503-232-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17645 NW Saint Helens Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972311729",
            "country_code": "US",
            "telephone_number": "503-621-1069",
            "fax_number": "503-621-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINOCUR",
        "first_name": "MARCELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD16722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2076176",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500700499",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.