Active Wellness Chiropractic,pc

NPI #1033518600 in Portland, Oregon

Provider Information

NPI Number: 1033518600
Entity Type: Organization
Organization Name: Active Wellness Chiropractic,pc
Primary Specialty: Chiropractor
Enumeration Date: Aug 19, 2014
Last Updated: Aug 19, 2014

Practice Location

Address: 1815 SW MARLOW AVE
Address 2: SUITE 206
City: Portland
State: Oregon
ZIP Code: 97225-5185
Phone: (503) 789-1014

Authorized Official

Name: DR. MEGAN DEJANA, D.C.
Title: CEO
Phone: (503) 789-1014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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