Organization
ALIVE HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE RUTH NANI DO (OWNER)
(971) 294-9104
Entity
Organization
Contact information
Practice address
15160 NW LAIDLAW RD STE 222, PORTLAND, OR 97229-7708
(971) 470-0009
(971) 470-0047
Mailing address
15160 NW LAIDLAW RD STE 222, PORTLAND, OR 97229-7708
(971) 470-0009
(971) 470-0047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
02/11/2025
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