Organization · Type 2 NPI
Living Well Medical, LLC
Primary Care Nurse Practitioner · Brookings, OR
NPI number
1508630856
Active
Practice location
524 Spruce St Ste 5
Brookings, OR 97415-0407
Fax (541) 813-1506
Mailing address
PO Box 488
Brookings, OR 97415-0043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1508630856
Living Well Medical, LLC's National Provider Identifier is 1508630856, issued on Nov 7, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Brookings, OR. The record was last updated on Feb 8, 2024.