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Organization
LIVE WELL OREGON
Active
Organization
LIVE WELL OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELLA BARELA (PRESIDENT)
(503) 468-6964
Entity
Organization
Contact information
Practice address
3631 HIGHWAY 101 N, GEARHART, OR 97138-4321
(503) 468-6964
Mailing address
3631 HIGHWAY 101 N, GEARHART, OR 97138-4321
(503) 468-6964
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366184467
—
OR
Enumeration date
11/08/2023
Last updated
11/08/2023
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