Lifequal, LLC

NPI #1124493580 in Beaverton, Oregon

Provider Information

NPI Number: 1124493580
Entity Type: Organization
Organization Name: Lifequal, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 9, 2015
Last Updated: Dec 9, 2015

Practice Location

Address: 1975 NW 167TH PL
City: Beaverton
State: Oregon
ZIP Code: 97006-4908
Phone: (503) 531-9355

Authorized Official

Name: DR. VIJAY SHANKAR, PSY.D.
Title: OWNER
Phone: (503) 531-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Acupuncturist	171100000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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