Provider Demographics
NPI:1639132293
Name:FAILOR, ROBERT ROY (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ROY
Last Name:FAILOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 SUMNER AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-4602
Mailing Address - Country:US
Mailing Address - Phone:360-533-0044
Mailing Address - Fax:360-533-0549
Practice Address - Street 1:1812 SUMNER AVE
Practice Address - Street 2:SUITE D
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-4602
Practice Address - Country:US
Practice Address - Phone:360-533-0044
Practice Address - Fax:360-533-0549
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001690111N00000X
WACH1690111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA18188OtherDEPARTMENT L&I
WAFA2313OtherREGENCE
WA2096204Medicaid
WA18188OtherDEPARTMENT L&I