Activecarepdx PC
Chiropractor in Portland, OR. Organization (NPI-2).
NPI number1740714278
StatusActive
Last updated in NPPESApr 11, 2017
Details
- NPI
- 1740714278
- Entity type
- Organization (NPI-2)
- Legal business name
- Activecarepdx PC
- Organization subpart
- No
- Enumeration date
- Apr 11, 2017
- Last updated
- Apr 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3858 | OR | Yes |
Other names
- Clinicfit (Doing Business As)
Practice location
17700 Sw Upper Boones Ferry RdSuite 135
Portland, OR 97224-7082
Phone 503-747-4279 · Fax 503-747-4207
Mailing address
17700 Sw Upper Boones Ferry RdSuite 135
Portland, OR 97224-7082
Phone 503-747-4279 · Fax 503-747-4207
Authorized official
Matthew Scott Hemsley
President
5037474279
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