HEALTHY LIVING INTERNAL MEDICINE LLC NPI 1033532668

NPI Information

NPI: 1033532668
Provider Name: HEALTHY LIVING INTERNAL MEDICINE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
9221 SW BARBUR BLVD
STE 208
PORTLAND, OR
ZIP 97219
Phone: (971) 285-0065
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HEALTHY LIVING INTERNAL MEDICINE LLC is a primary care clinic center in Portland, OR. HEALTHY LIVING INTERNAL MEDICINE LLC NPI is 1033532668. The provider is registered as an organization entity type.

The provider's business location address is:

9221 SW BARBUR BLVD
STE 208
PORTLAND, OR
ZIP 97219-408
Phone: (971) 285-0065
Fax: (888) 977-1630

The provider's authorized official is Enrique Gomez Morayta .
The authorized official title is Chairperson/md and has the following contact phone number (971) 285-0065.

The enumeration date for this NPI number is 2/3/2014 and was last updated on 4/9/2014.

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
1	261QP2300X	Clinic/Center	Primary Care	MD165430	OREGON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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