OrganizationActive
Active Living Chiropractic, P.C.
NPI 1790825370 · Sports Physician Chiropractor · Beaverton, OR
Provider details
- NPI number
- 1790825370
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Authorized official
- Guillermo Bermudez, Pres.
- License
- 3598 (OR)
Practice location
4900 Sw Griffith Dr Ste 110
Beaverton, OR 97005-4649
Phone: (503) 644-2225
Fax: (503) 644-2226
Mailing address
4900 Sw Griffith Dr Ste 110
Beaverton, OR 97005-4649
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.