BALANCE FOR HEALTHY LIVING PC NPI 1265740096

NPI Information

BALANCE FOR HEALTHY LIVING, PC is a professional counselor in Portland, OR. BALANCE FOR HEALTHY LIVING, PC NPI is 1265740096. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6129 NE SKIDMORE ST
PORTLAND, OR
ZIP 97218-227
Phone: (503) 407-9232

The provider's authorized official is Tirzah D Jacob .
The authorized official title is Practice Owner and has the following contact phone number (503) 407-9232.

The enumeration date for this NPI number is 9/14/2010 and was last updated on 6/1/2023.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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