<Unavail>

LBN: Active Family Chiropractic, Llc
<Unavail> is an health care organization with primary practice located at 501 Ne Hood Ave Suite 205, Gresham OR 97030-7303. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is the primary health care specialty. Active Family Chiropractic, Llc can be contacted via phone (503) 674-7894, or through Waggoner, Michelle K via phone (503) 674-7894.

Contact Information

Primary practice address
501 Ne Hood Ave Suite 205 Gresham OR 97030-7303
Phone: (503) 674-7894
Fax: (503) 674-7899
Website:
Map and Directions
Authorized official contact:
Name: Waggoner, Michelle K Doctor of Chiropractic (DC)
Phone: (503) 674-7894

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 3725 Oregon
Chiropractic Providers / Sports Physician 111NS0005X 3666 Oregon

Profile Details

NPI number 1104221530
LBN Legal business name Active Family Chiropractic, Llc
DBA Doing business as <Unavail>
Authorized official Waggoner, Michelle K Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2014
Last updated Oct 28th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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