Organization · Type 2 NPI

Active Family Chiropractic, LLC

Sports Physician Chiropractor · Gresham, OR

NPI number 1104221530 Active

Practice location

501 NE Hood Ave, Suite 205
Gresham, OR 97030-7303

Fax (503) 674-7899

Specialties and licenses

TaxonomyCodeLicense
Pediatric Chiropractor 111NP0017X3725 (OR)
Sports Physician Chiropractor Primary 111NS0005X3666 (OR)

Sports Physician Chiropractor: 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) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

10 other providers at this address

About NPI 1104221530

Active Family Chiropractic, LLC's National Provider Identifier is 1104221530, issued on Oct 28, 2014. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Gresham, OR. The record was last updated on Oct 28, 2014.