Organization
ACTIVE RECOVERY TMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GRANO (CEO)
(503) 708-9901
Entity
Organization
Contact information
Practice address
4949 MEADOWS RD STE 250, LAKE OSWEGO, OR 97035-3147
(503) 708-9901
Mailing address
4949 MEADOWS RD STE 250, LAKE OSWEGO, OR 97035-3147
(503) 708-9901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084P0800X
COMMERCIAL INSURANCE
OR
05
—
2084P0800X
—
OR
Enumeration date
11/20/2020
Last updated
11/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us