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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
4020 LAKE WASHINGTON BLVD NE STE 210, KIRKLAND, WA 98033-7862
(203) 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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