Active Wellness Chiropractic,Pc

LBN: Active Wellness Chiropractic,Pc
Active Wellness Chiropractic,Pc is an health care organization with primary practice located at 1815 Sw Marlow Ave Suite 206, Portland OR 97225-5185. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Active Wellness Chiropractic,Pc can be contacted via phone (503) 789-1014, or through Dejana, Megan via phone (503) 789-1014.

Contact Information

Primary practice address
1815 Sw Marlow Ave Suite 206 Portland OR 97225-5185
Phone: (503) 789-1014
Fax: (877) 985-9111
Website:
Map and Directions
Authorized official contact:
Name: Dejana, Megan Doctor of Chiropractic (DC)
Phone: (503) 789-1014

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3632 Oregon

Profile Details

NPI number 1033518600
LBN Legal business name Active Wellness Chiropractic,Pc
DBA Doing business as
Authorized official Dejana, Megan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2014
Last updated Aug 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033518600 NPPES
Oregon Other 1871506600 NPI TYPE 1

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