Life Medical LLC

NPI #1447065636 in Tigard, Oregon

Provider Information

NPI Number: 1447065636
Entity Type: Organization
Organization Name: Life Medical LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 12, 2025
Last Updated: Feb 12, 2025

Practice Location

Address: 6650 SW REDWOOD LN STE 150
City: Tigard
State: Oregon
ZIP Code: 97224-7184
Phone: (503) 443-2250

Authorized Official

Name: DAVID KENNY
Title: ADMINISTRATOR
Phone: (503) 399-0021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health & Wellness Coach	171400000X
Naturopath	175F00000X
Registered Nurse - Ambulatory Care — Ambulatory Care	163WP2201X
Acupuncturist	171100000X
Nurse Practitioner	363L00000X	Primary

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