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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ACTIVE FAMILY CHIROPRACTIC, LLC

Active Organization

ACTIVE FAMILY CHIROPRACTIC, LLC is a Sports Physician (Chiropractor) organization located in GRESHAM, Oregon. NPI 1104221530 is currently active in the NPPES registry. Verify at CMS.

Sports Physician (Chiropractor) · GRESHAM, OR

Registration Details

NPI Number
1104221530
Provider Type
Organization
NPI Issued
Oct 28, 2014 (11.804407189135 yrs)
Last Updated
Oct 28, 2014
Licenses
3725 (OR)
3666 (OR)

Practice Information

Address
501 NE HOOD AVE
SUITE 205
GRESHAM, OR, 970307303
Browse OR providers · Browse ZIP 97030
Phone
5036747894
Fax
5036747899
Primary Specialty
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.