| Living Waters Counsel Llc | |
|
14376 Sw Farmington Rd Beaverton OR 97005-2524 | |
| (503) 567-7604 | |
| Not Available |
| Full Name | Living Waters Counsel Llc |
|---|---|
| Speciality | Counselor |
| Location | 14376 Sw Farmington Rd, Beaverton, Oregon |
| Authorized Official Name and Position | Elysia Chan (OWNER) |
| Authorized Official Contact | 5102826895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Waters Counsel Llc 7018 Sw 156th Ave Beaverton OR 97007-6801 Ph: () - | Living Waters Counsel Llc 14376 Sw Farmington Rd Beaverton OR 97005-2524 Ph: (503) 567-7604 |
| NPI Number | 1043080245 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043080245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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