- Practice location
- 3929 NE 78TH Ave Apt 12, Portland, OR 97213-6400
- Phone
- 507-219-0122
- Fax
- —
- Last updated
- November 25, 2024
Active Independence Oregon is a healthcare organization based in Portland, OR. Active Independence Oregon practices in Portland, OR. The NPI Number for Active Independence Oregon is 1902622921. The current practice location address for Active Independence Oregon is 3929 NE 78TH Ave Apt 12, Portland, OR 97213-6400 and can be reached out via phone at 507-219-0122.
Provider Profile Details
- NPI Number
- 1902622921
- Provider Name
- Active Independence Oregon
- Provider Entity Type
- Organization
- Address
- 3929 NE 78TH Ave Apt 12, Portland, OR 97213-6400
- Phone Number
- 507-219-0122
- Primary Taxonomy
- Day Training, Developmentally Disabled Services · 251C00000X
- Organization Subpart
- No
- Authorized Official
- Riley Deboest · Director/Owner · 507-219-0122
- Provider Enumeration Date
- November 25, 2024
- Last Update Date
- November 25, 2024
- Certification Date
- November 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3929 NE 78TH Ave Apt 12
Portland, OR 97213-6400 - City
- Portland
- State
- Oregon
- Zip
- 97213-6400
- Phone Number
- 507-219-0122
Provider Business Mailing Address Details
- Address
- 3929 NE 78TH Ave Apt 12
Portland, OR 97213-6400 - City
- Portland
- State
- OR
- Zip
- 97213-6400
- Phone Number
- 507-219-0122
License Information
- Taxonomy
- Day Training, Developmentally Disabled Services · 251C00000X · 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 Independence Oregon?
The NPI number of Active Independence Oregon is 1902622921. It was assigned on November 25, 2024 and is currently active in the NPPES registry.
What is the specialty of Active Independence Oregon?
Active Independence Oregon is registered under the primary taxonomy Day Training, Developmentally Disabled Services (code 251C00000X).
Where does Active Independence Oregon practice?
The practice location is 3929 NE 78TH Ave Apt 12, Portland, OR 97213-6400. The office can be reached at 507-219-0122 (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 1902622921 directly on the NPPES registry website.