Healthcare Provider Details

I. General information

NPI: 1639132293
Provider Name (Legal Business Name): ROBERT ROY FAILOR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 SUMNER AVE SUITE D
ABERDEEN WA
98520-4602
US

IV. Provider business mailing address

1812 SUMNER AVE SUITE D
ABERDEEN WA
98520-4602
US

V. Phone/Fax

Practice location:
  • Phone: 360-533-0044
  • Fax: 360-533-0549
Mailing address:
  • Phone: 360-533-0044
  • Fax: 360-533-0549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00001690
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License NumberCH1690
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: