Organization
DR SCOTT GROSS DC LLC
Active
Other names
Active Motion Spine & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT EDWARD GROSS DC (OWNER)
(503) 314-9525
Entity
Organization
Contact information
Practice address
2075 NE DIVISION ST, GRESHAM, OR 97030-5812
(503) 512-1040
(503) 662-7334
Mailing address
2075 NE DIVISION ST, GRESHAM, OR 97030-5812
(503) 512-1040
(503) 662-7334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487151650
—
OR
Enumeration date
06/10/2022
Last updated
06/10/2022
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