OrganizationActive
Muscle and Movement Therapy
NPI 1982012662 · Health Maintenance Organization · Portland, OR
Provider details
- NPI number
- 1982012662
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Mona Matthews, Lmt(208) 940-2053
- License
- 19679 (OR)
Specialties & taxonomies
Managed Care Organizations
Practice location
5940 Se 138th Pl
Portland, OR 97236-4402
Phone: (208) 940-2053
Approximate (ZIP-level) locationGet directions
Mailing address
5940 Se 138th Pl
Portland, OR 97236-4402
Registry dates
- Enumerated
- 2014-07-26
- Last updated
- 2014-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.