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Organization

LIVING ISLANDS NON-PROFIT

Active
Other names
LIVING ISLANDS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESPER RORBYE ANGELO (CIO/COO)
(360) 430-7660
Entity
Organization

Contact information

Practice address
1585 PATTON RD, LAKE OSWEGO, OR 97034-6047
(971) 220-5484
Mailing address
PO BOX 366, LAKE OSWEGO, OR 97034-0366
(971) 220-5484

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
04/11/2022
Last updated
01/16/2026
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