# NORTHWEST LIFESTYLE MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447481866
- **Authorized official:** DR. MARCUS A BRAMAN MD, MPH (PRESIDENT)
- **Authorized official phone:** (971) 983-5433

## Contact information

- **Practice address:** 6250 COMMERCIAL ST SE, SUITE 100, SALEM, OR 97306-1333
- **Practice address phone:** (971) 983-5433
- **Practice address fax:** (971) 983-5434
- **Mailing address:** PO BOX 4141, SALEM, OR 97302-8141
- **Mailing address phone:** (971) 983-5433
- **Mailing address fax:** (971) 983-5434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | MD21630 | OR | Yes |

## Other

- **Enumeration date:** 08/03/2009
- **Last updated:** 12/29/2015