Active Motion Spine & Rehab LLC
Organization Active NPI Chiropractor · Gresham, OR
NPI 1164073631 · NPPES record last updated Sep 25, 2019
Key facts
- NPI
- 1164073631
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ACTIVE MOTION SPINE & REHAB LLC
- Practice address
- 1304 NW Civic Dr
Gresham, OR 97030-5569 - Phone
- (503) 512-1040
- Fax
- (503) 662-7334
- NPI assigned
- Sep 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Aaron Montgomery, DC
- Title
- Owner/Clinic Director
- Phone
- (503) 512-1040
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1304 NW Civic Dr
Gresham, OR 97030-5569
Mailing address
1304 NW Civic Dr
Gresham, OR 97030-5569
Phone (503) 512-1040
Other names
- Active Motion Spine & Rehab
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.