Active Motion Spine & Rehab LLC

NPI #1164073631 in Gresham, Oregon

Provider Information

NPI Number: 1164073631
Entity Type: Organization
Organization Name: Active Motion Spine & Rehab LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 25, 2019
Last Updated: Sep 25, 2019

Practice Location

Address: 1304 NW CIVIC DR
City: Gresham
State: Oregon
ZIP Code: 97030-5569
Phone: (503) 512-1040

Authorized Official

Name: DR. AARON MONTGOMERY, DC
Title: OWNER/CLINIC DIRECTOR
Phone: (503) 512-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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