| Active Recovery Tms Pllc | |
|
2525 12th St Se Ste 210 Salem OR 97302-2281 | |
| (206) 210-1198 | |
| (503) 914-1401 |
| Full Name | Active Recovery Tms Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2525 12th St Se Ste 210, Salem, Oregon |
| Authorized Official Name and Position | Amy Dawn Moore (CONTRACTOR) |
| Authorized Official Contact | 5038196585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Recovery Tms Pllc 11850 Sw 67th Ave Ste 105 Portland OR 97223-8963 Ph: () - | Active Recovery Tms Pllc 2525 12th St Se Ste 210 Salem OR 97302-2281 Ph: (206) 210-1198 |
| NPI Number | 1316752033 |
|---|---|
| Provider Enumeration Date | 02/10/2025 |
| Last Update Date | 02/10/2025 |
| Certification Date | 02/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316752033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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