NPI 1588908057

Active Chiropractic/Balance Massage

Organisation Nursing Facility/Intermediate Care Facility Hillsboro, OR

Practice location

Address: 233 SE Washington St Suite 103, Hillsboro, OR 97123-4023
Phone: (503) 352-9685
Fax: (503) 640-8811
Mailing address: 14948 SW Scholls Ferry Rd APT. K303, Beaverton, OR 97007-8285

Authorised official

Name: David Thomasson
Title: Licensed Massage Therapist
Phone: (503) 352-9685

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 16536 (OR)

Other Nursing Facility/Intermediate Care Facility providers in Oregon →

Registry record

NPI: 1588908057
Entity type: Organization
NPI issued: 21 Nov 2012
Record last updated: 21 Nov 2012

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.