OrganizationActive
Active Wellness Chiropractic,pc
NPI 1033518600 · Chiropractor · Portland, OR
Provider details
- NPI number
- 1033518600
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Megan Dejana, Ceo(503) 789-1014
- License
- 3632 (OR)
Specialties & taxonomies
Chiropractic Providers
Practice location
1815 Sw Marlow Ave
Suite 206
Portland, OR 97225-5185
Phone: (503) 789-1014
Fax: (877) 985-9111
Approximate (ZIP-level) locationGet directions
Mailing address
1815 Sw Marlow Ave
Portland, OR 97225-5185
Registry dates
- Enumerated
- 2014-08-19
- Last updated
- 2014-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.