Organization
ACTIVE RECOVERY TMS PLLC
Active
Organization
ACTIVE RECOVERY TMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAWN MOORE (CONTRACTING PARTNER)
(038) 196-5855
Entity
Organization
Contact information
Practice address
11850 SW 67TH AVE STE 130, TIGARD, OR 97223-8963
(503) 819-6585
Mailing address
11850 SW 67TH AVE STE 105, TIGARD, OR 97223-8963
(503) 819-6585
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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