NPI 1891196739 · live from the CMS NPI Registry
Active Life Chiropractic And Rehab, LLC
Chiropractor in Tualatin, OR. National Provider Identifier 1891196739, active.
NPI record
| NPI | 1891196739 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 8365 Sw Warm Springs St, Tualatin, OR 97062 |
| Practice phone | 503-855-3375 |
| Enumerated | September 10, 2014 |
| Last updated | May 19, 2015 |
| Authorized official | Rachel Kohn, Doctor/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 5551 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.