Active NPIOrganization

Active Independence Oregon

Day Training, Developmentally Disabled Services in Portland, Oregon

NPI Number1902622921
Practice location
3929 NE 78TH Ave Apt 12, Portland, OR 97213-6400
Fax
—
Last updated
November 25, 2024

Active Independence Oregon is a healthcare organization based in Portland, OR. The NPI number for Active Independence Oregon is 1902622921. The current practice location address is 3929 NE 78TH Ave Apt 12, Portland, OR 97213-6400 and the office can be reached by phone at 507-219-0122. The NPI was assigned on November 25, 2024 and the record was last updated in NPPES on November 25, 2024.

●Provider Profile Details

NPI Number
1902622921
Provider Name
Active Independence Oregon
Entity Type
Organization (Type 2 NPI)
Organization Subpart
No
Authorized Official
Riley Deboest · Director/Owner · 507-219-0122
Enumeration Date
November 25, 2024
Last Update Date
November 25, 2024
Certification Date
November 24, 2024
NPI Status
Active

◉Business Practice Location Address

Address
3929 NE 78TH Ave Apt 12
Portland, OR 97213-6400
State
Oregon
ZIP
97213-6400
Country
US
Phone Number
507-219-0122

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✉Business Mailing Address

Address
3929 NE 78TH Ave Apt 12
Portland, OR 97213-6400
City
Portland
State
OR
ZIP
97213-6400
Phone Number
507-219-0122

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Day Training, Developmentally Disabled Services251C00000XYes——

#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 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 at npiregistry.cms.hhs.gov.

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