Active Family Chiropractic, LLC
NPI #1104221530 in Gresham, Oregon
Provider Information
- NPI Number
- 1104221530
- Entity Type
- Organization
- Organization Name
- Active Family Chiropractic, LLC
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- Oct 28, 2014
- Last Updated
- Oct 28, 2014
Practice Location
Authorized Official
- Name
- DR. MICHELLE K WAGGONER, DC
- Title
- PRESIDENT
- Phone
- (503) 674-7894
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Pediatric Chiropractor — Pediatric Chiropractor |
| Chiropractor - Sports Physician — Sports Physician |
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