Organization
ACTIVE RECOVERY TMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAWN MOORE (CONTRACTOR)
(971) 358-9292
Entity
Organization
Contact information
Practice address
1499 SE TECH CENTER PL STE 170, VANCOUVER, WA 98683-5529
(206) 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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