| Active Recovery Tms Pllc | |
|
11850 Sw 67th Ave Ste 130 Tigard OR 97223-8963 | |
| (503) 819-6585 | |
| Not Available |
| Full Name | Active Recovery Tms Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11850 Sw 67th Ave Ste 130, Tigard, Oregon |
| Authorized Official Name and Position | Amy Dawn Moore (CONTRACTING PARTNER) |
| Authorized Official Contact | 0381965855 |
| 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 Tigard OR 97223-8963 Ph: (503) 819-6585 | Active Recovery Tms Pllc 11850 Sw 67th Ave Ste 130 Tigard OR 97223-8963 Ph: (503) 819-6585 |
| NPI Number | 1013713759 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013713759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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