ACTIVE INDEPENDENCE OREGON NPI 1902622921

NPI Information

  • NPI: 1902622921
  • Provider Name: ACTIVE INDEPENDENCE OREGON
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Address: 3929 NE 78TH AVE APT 12
    PORTLAND, OR
    ZIP 97213
  • Phone: (507) 219-0122

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NPI Details

ACTIVE INDEPENDENCE OREGON is a day training developmentally disabled services in Portland, OR. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. ACTIVE INDEPENDENCE OREGON NPI is 1902622921. The provider is registered as an organization entity type.

The provider's business location address is:

3929 NE 78TH AVE APT 12
PORTLAND, OR
ZIP 97213-400
Phone: (507) 219-0122

The provider's authorized official is Riley Deboest .
The authorized official title is Director/owner and has the following contact phone number (507) 219-0122.

The enumeration date for this NPI number is 11/25/2024 and was last updated on 11/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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