Active Motion Spine & Rehab Llc - Chiropractor in Gresham, OR

Active Motion Spine & Rehab Llc is a Chiropractor based in Gresham, Oregon. Active Motion Spine & Rehab Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is 1304 Nw Civic Dr, Gresham, Oregon. It can be reached at their office (for appointments etc.) via phone at (503) 512-1040.

NPI number for Active Motion Spine & Rehab Llc is 1164073631 and their current mailing address is 1304 Nw Civic Dr, Gresham, Oregon. Active Motion Spine & Rehab Llc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164073631.

Contact Information

Active Motion Spine & Rehab Llc
1304 Nw Civic Dr,
Gresham, OR 97030-5569
(503) 512-1040
(503) 662-7334



Healthcare Provider's Profile

Full NameActive Motion Spine & Rehab Llc
TypeFacility
SpecialityChiropractor
Location1304 Nw Civic Dr, Gresham, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164073631
  • Provider Enumeration Date: 09/25/2019
  • Last Update Date: 09/25/2019

Medical Identifiers

Medical identifiers for Active Motion Spine & Rehab Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164073631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Motion Spine & Rehab Llc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Active Motion Spine & Rehab Llc
1304 Nw Civic Dr,
Gresham, OR 97030-5569

Ph: (503) 512-1040
Active Motion Spine & Rehab Llc
1304 Nw Civic Dr,
Gresham, OR 97030-5569

Ph: (503) 512-1040

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› Verified 4 days ago


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