| Livewell | |
|
3610 Ne 82nd Ave Portland OR 97220-5182 | |
| (509) 596-1138 | |
| (971) 308-7811 |
| Full Name | Livewell |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3610 Ne 82nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Ragnar Scott (NP) |
| Authorized Official Contact | 5095961138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell 1224 Ne Walnut St # 371 Roseburg OR 97470-2026 Ph: (509) 596-1138 | Livewell 3610 Ne 82nd Ave Portland OR 97220-5182 Ph: (509) 596-1138 |
| NPI Number | 1922820489 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922820489 | NPI | - | NPPES |
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