| Lifequal, Llc | |
|
1975 Nw 167th Pl Beaverton OR 97006-4908 | |
| (503) 531-9355 | |
| Not Available |
| Full Name | Lifequal, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1975 Nw 167th Pl, Beaverton, Oregon |
| Authorized Official Name and Position | Vijay Shankar (OWNER) |
| Authorized Official Contact | 5035319355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifequal, Llc 1975 Nw 167th Pl Beaverton OR 97006-4908 Ph: () - | Lifequal, Llc 1975 Nw 167th Pl Beaverton OR 97006-4908 Ph: (503) 531-9355 |
| NPI Number | 1124493580 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124493580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1281 (Oregon) | Primary |
| 1041C0700X | Social Worker - Clinical | 2193 (Oregon) | Secondary |
| 171100000X | Acupuncturist | AC169233 (Oregon) | Secondary |
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