Living Well Medical, LLC

NPI #1508630856 in Brookings, Oregon

Provider Information

NPI Number
1508630856
Entity Type
Organization
Organization Name
Living Well Medical, LLC
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Nov 7, 2023
Last Updated
Feb 8, 2024

Practice Location

Address
524 SPRUCE ST STE 5
State
Oregon
ZIP Code
97415-0407
Phone
(541) 813-1505

Authorized Official

Name
STACY RAE KREGER, NURSE PRACTITIONER
Title
NP/OWNER
Phone
(541) 813-1505

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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