| NPI | 1851021182 |
|---|---|
| Doing Business As | ACTIVE MOTION SPINE & REHAB |
| Entity Type | Organization |
| Authorized Contact | SCOTT EDWARD GROSS Owner 503-314-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-10 |