OrganizationActive
Accident and Injury Care, Ps
NPI 1235593492 · Clinic/Center · Portland, OR
Provider details
- NPI number
- 1235593492
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Martin, Owner(206) 362-3344
- License
- 3718 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Chiropractic Providers
- Chiropractor111N00000X
Chiropractic Providers
Practice location
12417 Ne Glisan St
Portland, OR 97230-2144
Phone: (971) 255-0301
Fax: (971) 255-0343
Approximate (ZIP-level) locationGet directions
Mailing address
12417 Ne Glisan St
Portland, OR 97230-2144
Registry dates
- Enumerated
- 2016-04-13
- Last updated
- 2022-09-26
- Certified
- 2022-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.