# LIVING WELL MED SPA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHAD PFEFER MD PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639510308
- **Legal business name:** CHAD PFEFER MD PC
- **Authorized official:** DR. CHAD THOMAS PFEFER M.D. (PRESIDENT)
- **Authorized official phone:** (971) 327-4355

## Contact information

- **Practice address:** 1920 NW AMBERGLEN PKWY, HILLSBORO, OR 97006-6980
- **Practice address phone:** (971) 327-4355
- **Mailing address:** 1920 NW AMBERGLEN PKWY, HILLSBORO, OR 97006-6980
- **Mailing address phone:** (971) 327-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD21275 | OR | Yes |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 07/10/2013