NPI 1164073631

Active Motion Spine & Rehab LLC

Organisation Chiropractor Gresham, OR

Practice location

Address: 1304 NW Civic Dr, Gresham, OR 97030-5569
Phone: (503) 512-1040
Fax: (503) 662-7334

Authorised official

Name: Aaron Montgomery
Title: Owner/Clinic Director
Phone: (503) 512-1040

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

Other Chiropractor providers in Oregon →

Registry record

NPI: 1164073631
Entity type: Organization
NPI issued: 25 Sep 2019
Record last updated: 25 Sep 2019

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.