NPI 1902622921

Active Independence Oregon

Organisation Developmentally Disabled Services Day Training Agency Portland, OR

Practice location

Address: 3929 NE 78th Ave APT 12, Portland, OR 97213-6400
Phone: (507) 219-0122

Authorised official

Name: Riley Deboest
Title: Director/Owner
Phone: (507) 219-0122

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Oregon →

Registry record

NPI: 1902622921
Entity type: Organization
NPI issued: 25 Nov 2024
Record last updated: 25 Nov 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.