Active Family Chiropractic, LLC
NPI 1104221530 · Sports Physician Chiropractor · Gresham, OR
Active Family Chiropractic, LLC is a Sports Physician Chiropractor organization in Gresham, OR (NPI 1104221530).
Provider details
- NPI number
- 1104221530
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Michelle Waggoner, President(503) 674-7894
- License
- 3725 (OR)
Specialties & taxonomies
Chiropractic Providers
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Active Family Chiropractic
Registry dates
- Enumerated
- 2014-10-28
- Last updated
- 2014-10-28
Frequently asked questions
- What is Active Family Chiropractic, LLC's NPI number?
- Active Family Chiropractic, LLC's National Provider Identifier (NPI) is 1104221530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Family Chiropractic, LLC?
- Active Family Chiropractic, LLC is classified in the NPPES registry as Sports Physician Chiropractor (Chiropractic Providers).
- Where is Active Family Chiropractic, LLC located?
- Active Family Chiropractic, LLC's practice location on file with NPPES is 501 Ne Hood Ave, Gresham, OR 97030-7303.
- What is Active Family Chiropractic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Family Chiropractic, LLC is (503) 674-7894.
- Who is the authorized official for Active Family Chiropractic, LLC?
- The authorized official listed on Active Family Chiropractic, LLC's NPPES record is Michelle Waggoner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Family Chiropractic, LLC's NPI active?
- Yes — Active Family Chiropractic, LLC's NPI (1104221530) is active in the NPPES registry as of the last update on 2014-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.