Active Wellness Chiropractic,pc
Chiropractor in Portland, Oregon
1033518600- Practice location
- 1815 SW Marlow Ave, Suite 206, Portland, OR 97225-5185
- Phone
- 503-789-1014
- Fax
- 877-985-9111
- Last updated
- August 19, 2014
Active Wellness Chiropractic,pc is a healthcare organization based in Portland, OR. The NPI number for Active Wellness Chiropractic,pc is 1033518600 and holds license No. 3632 (OR). The current practice location address is 1815 SW Marlow Ave, Suite 206, Portland, OR 97225-5185 and the office can be reached by phone at 503-789-1014 and by fax at 877-985-9111. The NPI was assigned on August 19, 2014 and the record was last updated in NPPES on August 19, 2014.
●Provider Profile Details
- NPI Number
- 1033518600
- Provider Name
- Active Wellness Chiropractic,pc
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Megan Dejana, DC · Ceo · 503-789-1014
- Enumeration Date
- August 19, 2014
- Last Update Date
- August 19, 2014
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1815 SW Marlow Ave
Suite 206
Portland, OR 97225-5185 - City
- Portland
- State
- Oregon
- ZIP
- 97225-5185
- Country
- US
- Phone Number
- 503-789-1014
- Fax Number
- 877-985-9111
✉Business Mailing Address
- Address
- 1815 SW Marlow Ave
Suite 206
Portland, OR 97225-5185 - City
- Portland
- State
- OR
- ZIP
- 97225-5185
- Phone Number
- 503-789-1014
- Fax Number
- 877-985-9111
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Chiropractor 193400000X - Single Specialty Group | 111N00000X | Yes | 3632 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Active Wellness Chiropractic,pc?
The NPI number of Active Wellness Chiropractic,pc is 1033518600. It was assigned on August 19, 2014 and is currently active in the NPPES registry.
What is the specialty of Active Wellness Chiropractic,pc?
Active Wellness Chiropractic,pc is registered under the primary taxonomy Chiropractor (code 111N00000X) and holds license No. 3632 (OR).
Where does Active Wellness Chiropractic,pc practice?
The practice location is 1815 SW Marlow Ave, Suite 206, Portland, OR 97225-5185. The office can be reached at 503-789-1014 (phone) or 877-985-9111 (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 1033518600 directly on the NPPES registry website at npiregistry.cms.hhs.gov.