Active NPIOrganization

Active Injury Rehab, LLC

Chiropractor in Portland, Oregon

NPI Number1003679200
Practice location
5253 NE Sandy Blvd, Portland, OR 97213-2562
Fax
—
Last updated
February 1, 2024

Active Injury Rehab, LLC is a healthcare organization based in Portland, OR. Active Injury Rehab, LLC practices in Portland, OR. The NPI Number for Active Injury Rehab, LLC is 1003679200. The current practice location address for Active Injury Rehab, LLC is 5253 NE Sandy Blvd, Portland, OR 97213-2562 and can be reached out via phone at 503-766-4881.

Provider Profile Details

NPI Number
1003679200
Provider Name
Active Injury Rehab, LLC
Provider Entity Type
Organization
Address
5253 NE Sandy Blvd, Portland, OR 97213-2562
Phone Number
503-766-4881
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Keenan Borgardt, DC · Owner · 503-440-7470
Other Names
Cascade Spine & Injury Center (Doing Business As)
Provider Enumeration Date
February 1, 2024
Last Update Date
February 1, 2024
Certification Date
February 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
5253 NE Sandy Blvd
Portland, OR 97213-2562
State
Oregon
Zip
97213-2562
Phone Number
503-766-4881
Portland, OR 97213Get directions →

Provider Business Mailing Address Details

Address
1605 NE 51ST Ave
Portland, OR 97213-2703
City
Portland
State
OR
Zip
97213-2703
Phone Number
503-440-7470

License Information

Taxonomy (1)
Acupuncturist · 171100000X
Taxonomy (2)
Massage Therapist · 225700000X
Taxonomy (3)
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Active Injury Rehab, LLC?

The NPI number of Active Injury Rehab, LLC is 1003679200. It was assigned on February 1, 2024 and is currently active in the NPPES registry.

What is the specialty of Active Injury Rehab, LLC?

Active Injury Rehab, LLC is registered under the primary taxonomy Chiropractor (code 111N00000X).

Where does Active Injury Rehab, LLC practice?

The practice location is 5253 NE Sandy Blvd, Portland, OR 97213-2562. The office can be reached at 503-766-4881 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003679200 directly on the NPPES registry website.

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