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Organization
ALIVE HEALTH AND WELLNESS, LLC
Active
Organization
ALIVE HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE RUTH NANI DO (OWNER)
(971) 294-9104
Entity
Organization
Contact information
Practice address
15160 NW LAIDLAW RD STE 222, PORTLAND, OR 97229-7708
(971) 470-0009
(971) 470-0047
Mailing address
15160 NW LAIDLAW RD STE 222, PORTLAND, OR 97229-7708
(971) 470-0009
(971) 470-0047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
02/11/2025
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