ACTIVECAREPDX PC
Organization (NPI-2)
Active
Chiropractor
Provider Information
- NPI Number
1740714278- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 17700 SW UPPER BOONES FERRY RD SUITE 135, PORTLAND, OR, 972247082
- Phone
- (503) 747-4279
- Fax
- (503) 747-4207
Specialties & Taxonomies
Chiropractor
Primary License: OR #3858