OrganizationActive
Function Therapeutics LLC
NPI 1881077204 · Rehabilitation Clinic/Center · Portland, OR
Provider details
- NPI number
- 1881077204
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hillary Kibgis, Owner(503) 922-9895
- License
- 1069622 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7925 Se Stark St
Portland, OR 97215-2341
Phone: (503) 922-9895
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 86745
Portland, OR 97286
Registry dates
- Enumerated
- 2015-07-02
- Last updated
- 2017-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.