Organization
ACTIVE RECOVERY TMS PLLC
Active
Other names
Active Path Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. Y PRITHAM K RAJ MD (CHIEF MEDICAL OFFICER)
(503) 308-3007
Entity
Organization
Contact information
Practice address
10151 SE SUNNYSIDE RD STE 360, CLACKAMAS, OR 97015-5705
(503) 308-3007
Mailing address
11850 SW 67TH AVE STE 105, PORTLAND, OR 97223-8963
(503) 836-5014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/10/2025
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