| Live Well Oregon | |
|
3631 Highway 101 N Gearhart OR 97138-4321 | |
| (503) 468-6964 | |
| Not Available |
| Full Name | Live Well Oregon |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3631 Highway 101 N, Gearhart, Oregon |
| Authorized Official Name and Position | Pamella Barela (PRESIDENT) |
| Authorized Official Contact | 5034686964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Oregon 3631 Highway 101 N Gearhart OR 97138-4321 Ph: (503) 468-6964 | Live Well Oregon 3631 Highway 101 N Gearhart OR 97138-4321 Ph: (503) 468-6964 |
| NPI Number | 1528832748 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528832748 | NPI | - | NPPES |
| 1366184467 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |