Organization
ACTIVE INJURY REHAB, LLC
Active
Other names
Cascade Spine & Injury Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEENAN BORGARDT DC (OWNER)
(503) 440-7470
Entity
Organization
Contact information
Practice address
5253 NE SANDY BLVD, PORTLAND, OR 97213-2562
(503) 766-4881
Mailing address
1605 NE 51ST AVE, PORTLAND, OR 97213-2703
(503) 440-7470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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