Organization
VIVACITY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA LOVE ND (NATUROPATH)
(503) 708-6781
Entity
Organization
Contact information
Practice address
7689 SW CAPITOL HWY, PORTLAND, OR 97219-2475
(503) 708-6781
(503) 821-6357
Mailing address
6327 SW CAPITOL HWY STE C, PMB#136, PORTLAND, OR 97239-2190
(503) 708-6781
(503) 821-6357
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1762
OR
Other
Enumeration date
02/14/2011
Last updated
04/04/2012
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