Organization
HEALTHY LIVING INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE GOMEZ MORAYTA M.D. (CHAIRPERSON/MD)
(971) 285-0065
Entity
Organization
Contact information
Practice address
9221 SW BARBUR BLVD, STE 208, PORTLAND, OR 97219-5408
(971) 285-0065
(888) 977-1630
Mailing address
9221 SW BARBUR BLVD, STE 208, PORTLAND, OR 97219-5408
(971) 285-0065
(888) 977-1630
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD165430
OR
Other
Enumeration date
02/03/2014
Last updated
04/09/2014
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