NPI 1003679200

Active Injury Rehab, LLC

Organisation Chiropractor Portland, OR

Practice location

Address: 5253 NE Sandy Blvd, Portland, OR 97213-2562
Phone: (503) 766-4881
Mailing address: 1605 NE 51st Ave, Portland, OR 97213-2703

Authorised official

Name: Keenan Borgardt
Title: Owner
Phone: (503) 440-7470

Registered specialties (3)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Acupuncturist

Other Service Providers Taxonomy 171100000X

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1003679200
Entity type: Organization
NPI issued: 1 Feb 2024
Record last updated: 1 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.