| Active Recovery Tms Llc | |
|
4949 Meadows Rd Ste 250 Lake Oswego OR 97035-3147 | |
| (503) 708-9901 | |
| Not Available |
| Full Name | Active Recovery Tms Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4949 Meadows Rd Ste 250, Lake Oswego, Oregon |
| Authorized Official Name and Position | David Grano (CEO) |
| Authorized Official Contact | 5037089901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Recovery Tms Llc 4949 Meadows Rd Ste 250 Lake Oswego OR 97035-3147 Ph: (503) 708-9901 | Active Recovery Tms Llc 4949 Meadows Rd Ste 250 Lake Oswego OR 97035-3147 Ph: (503) 708-9901 |
| NPI Number | 1740883602 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 11/20/2020 |
| Certification Date | 11/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740883602 | NPI | - | NPPES |
| 2084P0800X | Other | OR | COMMERCIAL INSURANCE |
| 2084P0800X | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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