Organization
ACTIVE RECOVERY TMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAWN MOORE (CONTRACTOR)
(503) 819-6585
Entity
Organization
Contact information
Practice address
2525 12TH ST SE STE 210, SALEM, OR 97302-2281
(206) 210-1198
(503) 914-1401
Mailing address
11850 SW 67TH AVE STE 105, PORTLAND, OR 97223-8963
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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