Organization Active NPI

Bella Health LLC

Doing business as Holistic Health Clinic

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1821110438
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272091 Issued in OR
Legal business name
BELLA HEALTH LLC
Doing business as
Holistic Health Clinic
Practice address
12320 SW Allen Blvd
Beaverton, OR 97005-4716
Phone
(503) 646-8575
Fax
(503) 526-0786
NPI assigned
Apr 4, 2007
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Dr. Marcella Lee Box, D.C.NPI 1669425328
Title
Clinic Director
Phone
(503) 646-8575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4960 OR
Chiropractor 111N00000X 272091 OR Primary

Addresses

Primary practice location

12320 SW Allen Blvd
Beaverton, OR 97005-4716

Mailing address

12320 SW Allen Blvd
Beaverton, OR 97005-4716
Phone (503) 646-8575

Other names 1

  • Holistic Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

12320 SW Allen Blvd
Beaverton, OR 97005
Phone (503) 642-8575

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1821110438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 SW ALLEN BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054716",
            "telephone_number": "503-646-8575",
            "fax_number": "503-526-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 SW ALLEN BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054716",
            "telephone_number": "503-646-8575",
            "fax_number": "503-526-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-646-8575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4960",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.