# LIFETIME OPTIMIZATION, INC.

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

## Provider details

- **NPI number:** 1700127941
- **Authorized official:** MR. BRADLEY ROYCE PENDERGRAFT LCSW (PRESIDENT)
- **Authorized official phone:** (503) 327-8713

## Contact information

- **Practice address:** 6105 SW MACADAM AVE STE 100, PORTLAND, OR 97239-3640
- **Practice address phone:** (503) 327-8713
- **Mailing address:** 6105 SW MACADAM AVE STE 100, PORTLAND, OR 97239-3640
- **Mailing address phone:** (503) 327-8713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2227 | OR | Yes |
| 246ZE0500X | EEG Specialist/Technologist | — | NULL | — |
| 246ZE0500X | EEG Specialist/Technologist | — | — | — |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013