LIVING WELL PDX P C

BEAVERTON, OR
NPI1487998647
Entity TypeOrganization
Authorized ContactMAX HAMMOND
Administrator
859-410-8550
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: OR  MD21275)
Enumeration Date2012-11-12
Last Update Date2013-01-22
Business Address
LIVING WELL PDX P C
1920 NW AMBERGLEN PKWY SUITE 150
BEAVERTON, OR 97006-6980
Phone number: 971-327-4355
Mailing Address
LIVING WELL PDX P C
PO BOX 910544
LEXINGTON, KY 40591-0544
Phone number: 859-410-8550
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