OrganizationActive
Advance Injury Care and Movement Therapy LLC
NPI 1386924934 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1386924934
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Richard Roskopf, Owner
- License
- 9601 (OR)
Practice location
11507 Sw Shilo Ln
Ste E
Portland, OR 97225-5923
Phone: (503) 939-2524
Fax: (503) 520-0514
Mailing address
11507 Sw Shilo Ln
Portland, OR 97225-5923
Registry dates
- Enumerated
- 2011-08-26
- Last updated
- 2011-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.