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Organization
LIFE MEDICAL LLC
Active
Organization
LIFE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KENNY (ADMINISTRATOR)
(503) 399-0021
Entity
Organization
Contact information
Practice address
6650 SW REDWOOD LN STE 150, TIGARD, OR 97224-7184
(503) 443-2250
Mailing address
6650 SW REDWOOD LN STE 150, TIGARD, OR 97224-7184
(503) 443-2250
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
—
—
171100000X
Acupuncturist
—
—
171400000X
Health & Wellness Coach
—
—
175F00000X
Naturopath
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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