Living Well Pdx P C

NPI #1487998647 in Beaverton, Oregon

Provider Information

NPI Number: 1487998647
Entity Type: Organization
Organization Name: Living Well Pdx P C
Primary Specialty: Specialist
Enumeration Date: Nov 12, 2012
Last Updated: Jan 22, 2013

Practice Location

Address: 1920 NW AMBERGLEN PKWY
Address 2: SUITE 150
City: Beaverton
State: Oregon
ZIP Code: 97006-6980
Phone: (971) 327-4355

Authorized Official

Name: MAX HAMMOND
Title: ADMINISTRATOR
Phone: (859) 410-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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