Vivacity Health, Llc | |
7689 Sw Capitol Hwy Portland OR 97219-2475 | |
(503) 708-6781 | |
(503) 821-6357 |
Full Name | Vivacity Health, Llc |
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Speciality | Clinic/center |
Location | 7689 Sw Capitol Hwy, Portland, Oregon |
Authorized Official Name and Position | Sara Love (NATUROPATH) |
Authorized Official Contact | 5037086781 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vivacity Health, Llc 6327 Sw Capitol Hwy Ste C Pmb#136 Portland OR 97239-2190 Ph: (503) 708-6781 | Vivacity Health, Llc 7689 Sw Capitol Hwy Portland OR 97219-2475 Ph: (503) 708-6781 |
NPI Number | 1013214881 |
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Provider Enumeration Date | 02/14/2011 |
Last Update Date | 04/04/2012 |
Identifier | Type | State | Issuer |
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1013214881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1762 (Oregon) | Primary |
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