| Active Recovery Tms Pllc | |
|
1499 Se Tech Center Pl Ste 170 Vancouver WA 98683-5529 | |
| (206) 210-1198 | |
| (503) 914-1401 |
| Full Name | Active Recovery Tms Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1499 Se Tech Center Pl Ste 170, Vancouver, Washington |
| Authorized Official Name and Position | Amy Dawn Moore (CONTRACTOR) |
| Authorized Official Contact | 9713589292 |
| 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 1499 Se Tech Center Pl Ste 170 Vancouver WA 98683-5529 Ph: (206) 210-1198 |
| NPI Number | 1922813641 |
|---|---|
| Provider Enumeration Date | 02/10/2025 |
| Last Update Date | 02/10/2025 |
| Certification Date | 02/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922813641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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