OrganizationActive
Active Motion Spine & Rehab LLC
NPI 1164073631 · Chiropractor · Gresham, OR
Provider details
- NPI number
- 1164073631
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Authorized official
- Aaron Montgomery, Owner/Clinic Director
Practice location
1304 Nw Civic Dr
Gresham, OR 97030-5569
Phone: (503) 512-1040
Fax: (503) 662-7334
Mailing address
1304 Nw Civic Dr
Gresham, OR 97030-5569
Registry dates
- Enumerated
- 2019-09-25
- Last updated
- 2019-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.