Active NPIOrganization

Active Recovery Tms PLLC

Psychiatry & Neurology, Psychiatry in Portland, Oregon

NPI Number1104631811
Practice location
2701 NW Vaughn St Ste 470, Portland, OR 97210-5326
Fax
503-914-1401
Last updated
February 10, 2025

Active Recovery Tms PLLC is a healthcare organization based in Portland, OR. The NPI number for Active Recovery Tms PLLC is 1104631811. The current practice location address is 2701 NW Vaughn St Ste 470, Portland, OR 97210-5326 and the office can be reached by phone at 206-210-1198 and by fax at 503-914-1401. The NPI was assigned on February 10, 2025 and the record was last updated in NPPES on February 10, 2025.

●Provider Profile Details

NPI Number
1104631811
Provider Name
Active Recovery Tms PLLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Amy Dawn Moore · Contractor · 503-819-6585
Enumeration Date
February 10, 2025
Last Update Date
February 10, 2025
Certification Date
February 10, 2025
NPI Status
Active

◉Business Practice Location Address

Address
2701 NW Vaughn St Ste 470
Portland, OR 97210-5326
State
Oregon
ZIP
97210-5326
Country
US
Phone Number
206-210-1198
Fax Number
503-914-1401

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✉Business Mailing Address

Address
11850 SW 67TH Ave
Portland, OR 97223-8961
City
Portland
State
OR
ZIP
97223-8961

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Psychiatry & Neurology, Psychiatry
193200000X - Multi-Specialty Group
2084P0800XYes——

#Other Provider Identifiers

No legacy or other 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 Recovery Tms PLLC?

The NPI number of Active Recovery Tms PLLC is 1104631811. It was assigned on February 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Active Recovery Tms PLLC?

Active Recovery Tms PLLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).

Where does Active Recovery Tms PLLC practice?

The practice location is 2701 NW Vaughn St Ste 470, Portland, OR 97210-5326. The office can be reached at 206-210-1198 (phone) or 503-914-1401 (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 1104631811 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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