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

Active Independence Oregon

Organization Developmentally Disabled Services Day Training Agency · NPI 1902622921

Active Independence Oregon is a Developmentally Disabled Services Day Training Agency in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3929 NE 78th Ave Apt 12
Portland, OR 97213-6400
Phone: (507) 219-0122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X

Record details

NPI number1902622921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Riley Deboest — Director/Owner · (507) 219-0122
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 24, 2024
Mailing address3929 Ne 78th Ave Apt 12, Portland, OR 97213-6400

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