- Practice location
- 4900 SW Griffith Dr Ste 110, Beaverton, OR 97005-4649
- Phone
- 503-644-2225
- Fax
- 503-644-2226
- Last updated
- August 22, 2020
Active Living Chiropractic, P.c. is a healthcare organization based in Beaverton, OR. Active Living Chiropractic, P.c. practices in Beaverton, OR. The NPI Number for Active Living Chiropractic, P.c. is 1790825370 and holds a License No. 3598 (OR). The current practice location address for Active Living Chiropractic, P.c. is 4900 SW Griffith Dr Ste 110, Beaverton, OR 97005-4649 and can be reached out via phone at 503-644-2225 and via fax at 503-644-2226.
Provider Profile Details
- NPI Number
- 1790825370
- Provider Name
- Active Living Chiropractic, P.c.
- Provider Entity Type
- Organization
- Address
- 4900 SW Griffith Dr Ste 110, Beaverton, OR 97005-4649
- Phone Number
- 503-644-2225
- Fax Number
- 503-644-2226
- Primary Taxonomy
- Chiropractor, Sports Physician · 111NS0005X
- Organization Subpart
- No
- Authorized Official
- Dr. Guillermo J Bermudez, DC · Pres. · 503-644-2225
- Provider Enumeration Date
- February 6, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4900 SW Griffith Dr Ste 110
Beaverton, OR 97005-4649 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-4649
- Phone Number
- 503-644-2225
- Fax Number
- 503-644-2226
Provider Business Mailing Address Details
- Address
- 4900 SW Griffith Dr Ste 110
Beaverton, OR 97005-4649 - City
- Beaverton
- State
- OR
- Zip
- 97005-4649
- Phone Number
- 503-644-2225
- Fax Number
- 503-644-2226
License Information
- License Number
- 3598
- License State
- OR
- Taxonomy
- Chiropractor, Sports Physician · 111NS0005X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Living Chiropractic, P.c.?
The NPI number of Active Living Chiropractic, P.c. is 1790825370. It was assigned on February 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Active Living Chiropractic, P.c.?
Active Living Chiropractic, P.c. is registered under the primary taxonomy Chiropractor, Sports Physician (code 111NS0005X), licensed in OR under license number 3598.
Where does Active Living Chiropractic, P.c. practice?
The practice location is 4900 SW Griffith Dr Ste 110, Beaverton, OR 97005-4649. The office can be reached at 503-644-2225 (phone) or 503-644-2226 (fax).
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 1790825370 directly on the NPPES registry website.