Active Independence Oregon

NPI #1902622921 in Portland, Oregon

Provider Information

NPI Number
1902622921
Entity Type
Organization
Organization Name
Active Independence Oregon
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Nov 25, 2024
Last Updated
Nov 25, 2024

Practice Location

Address
3929 NE 78TH AVE APT 12
State
Oregon
ZIP Code
97213-6400
Phone
(507) 219-0122

Authorized Official

Name
RILEY DEBOEST
Title
DIRECTOR/OWNER
Phone
(507) 219-0122

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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