LIVING WELL PDX P C NPI 1487998647

NPI Information

LIVING WELL PDX P C is a specialist in Beaverton, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LIVING WELL PDX P C NPI is 1487998647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1920 NW AMBERGLEN PKWY
SUITE 150
BEAVERTON, OR
ZIP 97006-980
Phone: (971) 327-4355
Fax: (971) 327-4355

The provider's authorized official is Max Hammond .
The authorized official title is Administrator and has the following contact phone number (859) 410-8550.

The enumeration date for this NPI number is 11/12/2012 and was last updated on 1/22/2013.

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:

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