HEALTHY LIVING COMMUNITY is a clinic center in Portland, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HEALTHY LIVING COMMUNITY NPI is 1700446085. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3605 SE 26TH AVE
PORTLAND, OR
ZIP 97202-953
Phone: (971) 231-4536
Fax: (503) 376-3790
The provider's authorized official is Matthew S Whitacre .
The authorized official title is Medical Director / Md and has the following contact phone number (360) 640-8833.
The CLIA number assigned to this NPI record is 38D2064049 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 6/18/2019 and was last updated on 7/26/2023.