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Organization
LIFE BALANCE NORTHWEST, LLC
Active
Organization
LIFE BALANCE NORTHWEST, LLC
Active
Other names
Life Balance Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE CHILDERS MD (PSYCHIATRIST)
(503) 344-6211
Entity
Organization
Contact information
Practice address
1595 HOLLY ST, WEST LINN, OR 97068-3326
(503) 344-6211
(503) 344-6991
Mailing address
333 S STATE ST V137, LAKE OSWEGO, OR 97034-5052
(503) 344-6211
(503) 344-6991
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD19493
OR
Other
Enumeration date
09/23/2010
Last updated
10/17/2016
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