| Healthy Living Internal Medicine Llc | |
|
9221 Sw Barbur Blvd Ste 208 Portland OR 97219-5408 | |
| (971) 285-0065 | |
| (888) 977-1630 |
| Full Name | Healthy Living Internal Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9221 Sw Barbur Blvd, Portland, Oregon |
| Authorized Official Name and Position | Enrique Gomez Morayta (CHAIRPERSON/MD) |
| Authorized Official Contact | 9712850065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Internal Medicine Llc 9221 Sw Barbur Blvd Ste 208 Portland OR 97219-5408 Ph: (971) 285-0065 | Healthy Living Internal Medicine Llc 9221 Sw Barbur Blvd Ste 208 Portland OR 97219-5408 Ph: (971) 285-0065 |
| NPI Number | 1033532668 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033532668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD165430 (Oregon) | Primary |
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