Active For Life

LBN: Carroll Smith
Active For Life is an health care organization with primary practice located at 448 S 1St Ave Ste# 300, Hillsboro OR 97123-3952. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Carroll Smith can be contacted via phone (503) 693-9380, or through Smith, Carroll Dean via phone (503) 693-9380.

Contact Information

Primary practice address
448 S 1St Ave Ste# 300 Hillsboro OR 97123-3952
Phone: (503) 693-9380
Fax: (503) 693-9270
Website:
Map and Directions
Authorized official contact:
Name: Smith, Carroll Dean
Phone: (503) 693-9380

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1871591347
LBN Legal business name Carroll Smith
DBA Doing business as Active For Life
Authorized official Smith, Carroll Dean
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 2nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871591347 NPPES
Oregon MEDICAID 269587

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