ACTIVE FAMILY CHIROPRACTIC
NPI 1104221530
Chiropractor - Sports Physician in Gresham, OR

Q: What is Active Family Chiropractic, LLC's NPI number?

The NPI number for Active Family Chiropractic, LLC is 1104221530. It was assigned to this organization in the NPPES registry on October 28, 2014. The provider is doing business as Active Family Chiropractic.

Q: What is Active Family Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since October 28, 2014

501 NE HOOD AVE, SUITE 205, GRESHAM, OR 97030(503) 674-7894(503) 674-7899 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Active Family Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE FAMILY CHIROPRACTIC (NPI 1104221530) is a healthcare organization registered as a sports physician in Gresham, Oregon and active in the NPI registry since October 2014. The organization lists Michelle K Waggoner, President, as its authorized official.

NPPES Registry Identity

NPI1104221530

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameACTIVE FAMILY CHIROPRACTIC, LLC

Location Address501 NE HOOD AVE, SUITE 205Gresham, OR 97030-7303

Mailing Address501 Ne Hood Ave, Suite 205Gresham, OR 97030-7303 · (503) 674-7894 · Fax (503) 674-7899

Phone(503) 674-7894

Fax(503) 674-7899

Organization SubpartNo

Authorized OfficialMichelle K WaggonerPresident · (503) 674-7894

Enumeration DateOctober 28, 2014

✔ NPI 1104221530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in OR · 3666

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Also ListedChiropractor · Pediatric ChiropractorTaxonomy 111NP0017X · License 3725 (OR)

501 NE HOOD AVE, Gresham, OR 97030

Open in Google Maps ↗

Other Names 1

Doing Business AsActive Family Chiropractic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TOD M HARDIN DMD, PC

Dentist (Orthodontics and Dentofacial Orthopedics)

501 NE HOOD AVE, SUITE 305
GRESHAM, OR 97030

Multnomah County (503) 666-2196

HARDIN ORTHODONTICS

Dentist (Orthodontics and Dentofacial Orthopedics)

501 NE HOOD AVE, SUITE 305
GRESHAM, OR 97030

Multnomah County (503) 666-2196

COLUMBIA MEDICAL AND ENDOCRINE CLINIC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

501 NE HOOD AVE, SUITE 215
GRESHAM, OR 97030

Multnomah County (503) 667-8400

DR. STEPHEN K. CHOONG M.D.

Surgery

501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030

Multnomah County (503) 661-6765

SUMMER A ARCHIBALD D.D.S.

Dentist (General Practice)

501 NE HOOD AVE, SUITE 333
GRESHAM, OR 97030

Multnomah County (503) 661-2600

TATYANA J DEMBROW ARNP

Nurse Practitioner (Family)

501 NE HOOD AVE, SUITE 100
GRESHAM, OR 97030

Multnomah County (503) 775-4931

KAITLYN R DAILY LMT

Massage Therapist

501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030

Multnomah County (503) 674-7894

STEPHEN K. CHOONG, MD PC

Surgery

501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030

Multnomah County (503) 661-6765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Family Chiropractic, LLC's NPI number?

The NPI number for Active Family Chiropractic, LLC is 1104221530. It was assigned to this organization in the NPPES registry on October 28, 2014. The provider is doing business as Active Family Chiropractic.

Where is Active Family Chiropractic, LLC located?

Active Family Chiropractic, LLC is located at 501 NE Hood Ave Suite 205, Gresham, OR 97030. The listed phone number is (503) 674-7894.

What is Active Family Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

What insurance does Active Family Chiropractic, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Active Family Chiropractic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Active Family Chiropractic, LLC was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.