| Active Family Chiropractic | |
|
501 Ne Hood Ave, Suite 205, Gresham, OR 97030-7303 | |
| (503) 674-7894 | |
| (503) 674-7899 |
| Full Name | Active Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 501 Ne Hood Ave, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104221530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NP0017X | Chiropractor - Pediatric Chiropractor | 3725 (Oregon) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | 3666 (Oregon) | Primary |
| Provider Name | Michelle K Waggoner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316091275 PECOS PAC ID: 5496845067 Enrollment ID: I20071219000629 |
| Provider Name | Michelle K Chard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952524951 PECOS PAC ID: 7810012507 Enrollment ID: I20100917001082 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Family Chiropractic 501 Ne Hood Ave, Suite 205, Gresham, OR 97030-7303 Ph: (503) 674-7894 | Active Family Chiropractic 501 Ne Hood Ave, Suite 205, Gresham, OR 97030-7303 Ph: (503) 674-7894 |
Dr. Mark Anthony Betsill, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 23479 Se Stark St Ste 101, Gresham, OR 97030 Phone: 503-618-0147 Fax: 503-618-0148 | |
Evergreen Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 657 Ne Hood Ave, Gresham, OR 97030 Phone: 503-912-1156 Fax: 971-292-2932 | |
Balance Chiropractor Medicare: Medicare Enrolled Practice Location: 1217 Ne Burnside Rd Ste 301, Gresham, OR 97030 Phone: 503-492-2625 Fax: 503-492-2355 | |
Dr. Kenneth Leon Wecker, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 23440 Se Stark St, Gresham, OR 97030 Phone: 503-489-6245 Fax: 503-489-0552 | |
Dr. Gary A. Johnson, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 417 E Powell Blvd, Gresham, OR 97030 Phone: 503-665-2517 Fax: 503-667-3239 | |
Dr. Katie Anne Steinke, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2444 Ne Division St, Gresham, OR 97030 Phone: 503-667-1010 | |
Renewal Centers Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1240 Ne Burnside Rd, Gresham, OR 97030 Phone: 503-667-9300 Fax: 503-667-4975 |