Organization
ACTIVE LIVING CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO J BERMUDEZ D.C. (PRES.)
(503) 644-2225
Entity
Organization
Contact information
Practice address
4900 SW GRIFFITH DR STE 110, BEAVERTON, OR 97005-4649
(503) 644-2225
(503) 644-2226
Mailing address
4900 SW GRIFFITH DR STE 110, BEAVERTON, OR 97005-4649
(503) 644-2225
(503) 644-2226
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3598
OR
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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