NPI 1033518600 · live from the CMS NPI Registry
Active Wellness Chiropractic,PC
Chiropractor in Portland, OR. National Provider Identifier 1033518600, active.
NPI record
| NPI | 1033518600 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1815 Sw Marlow Ave, Suite 206, Portland, OR 97225 |
| Practice phone | 503-789-1014 |
| Enumerated | August 19, 2014 |
| Last updated | August 19, 2014 |
| Authorized official | Megan Dejana, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 3632 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.