Organization · Type 2 NPI
Livewell
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1922820489
Active
Practice location
7820 NE Holman St Ste B7
Portland, OR 97218-2859
Fax (971) 308-7811
Mailing address
1224 NE Walnut St # 371
Roseburg, OR 97470-2026
Other practice locations
- 400 E Evergreen Blvd Ste 217, Vancouver, WA 98660-3264 · (509) 596-1138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1922820489
Livewell's National Provider Identifier is 1922820489, issued on Oct 28, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Sep 18, 2025.