Organization · Type 2 NPI

Living Well PDX P C

Specialist · Beaverton, OR

NPI number 1487998647 Active

Practice location

1920 NW Amberglen Pkwy, Suite 150
Beaverton, OR 97006-6980

Call (971) 327-4355 Map

Fax (971) 327-4355

Mailing address

PO Box 910544
Lexington, KY 40591-0544

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD21275 (OR)

Specialist: 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.

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About NPI 1487998647

Living Well PDX P C's National Provider Identifier is 1487998647, issued on Nov 12, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaverton, OR. The record was last updated on Jan 22, 2013.