Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Family Chiropractic, LLC

Organization Pediatric Chiropractor · NPI 1104221530

Active Family Chiropractic, LLC is a Pediatric Chiropractor in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

501 NE Hood Ave Ste 205
Gresham, OR 97030-7303
Phone: (503) 674-7894
Fax: (503) 674-7899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 3666 (OR)
Pediatric Chiropractor Taxonomy 111NP0017X · Licence 3725 (OR)

Record details

NPI number1104221530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Waggoner — President · (503) 674-7894
Other names Active Family Chiropractic
NPI enumeratedOctober 28, 2014
Last updated in NPPESOctober 28, 2014
Mailing address501 Ne Hood Ave, Suite 205, Gresham, OR 97030-7303