Active Living Chiropractic, P.C. in Beaverton - Sports Physician
Active Living Chiropractic, P.C. - NPI 1790825370
Active Living Chiropractic, P.C. is a Sports Physician in Beaverton, Oregon. Active Living Chiropractic, P.C. practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Active Living Chiropractic, P.C. is 1790825370. The last update date is 2020-08-22.
Active Living Chiropractic, P.C.'s current location address is 4900 Sw Griffith Dr Ste 110, Beaverton, Oregon. You can contact this provider via phone number 5036442225 and fax number 5036442226. The mailing address for Active Living Chiropractic, P.C. is 4900 Sw Griffith Dr Ste 110, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Active Living Chiropractic, P.C. |
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Address | 4900 Sw Griffith Dr Ste 110, Beaverton, Oregon |
Phone Number | 5036442225 |
Fax Number | 5036442226 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRES. |
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Authorized Official Name | Bermudez J Guillermo |
Credentials | D.C. |
Telephone Number | 5036442225 |
NPI Number Detail
NPI Number | 1790825370 |
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Provider Enumeration Date | 2007-02-06 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 4900 Sw Griffith Dr Ste 110 |
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City | Beaverton |
State | Oregon (OR) |
Post Code | 970054649 |
Phone Number | 5036442225 |
Fax Number | 5036442226 |
Provider's Primary Taxonomy Detail
Speciality | Sports Physician |
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Taxonomy | 111Ns0005X |
Licence No | 3598 |
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the Active Living Chiropractic, P.C.'s 1790825370?
The Active Living Chiropractic, P.C.'s NPI (National Provider Identifier) Number is 1790825370. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Active Living Chiropractic, P.C.'s facilities are situated?
The facilities of Active Living Chiropractic, P.C. are physically located at the following address: 4900 Sw Griffith Dr Ste 110, Beaverton, OR, 970054649.
What is Active Living Chiropractic, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Active Living Chiropractic, P.C. is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
When did Active Living Chiropractic, P.C. receive its 1790825370 assignment?
The Active Living Chiropractic, P.C. was assigned its 1790825370 on 2007-02-06, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Active Living Chiropractic, P.C. most recently updated or revised?
The information pertaining to Active Living Chiropractic, P.C., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.