Organization
LIFE BALANCE NORTHWEST, LLC
Active
Other names
Life Balance Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE CHILDERS MD (PSYCHIATRIST)
(503) 344-6211
Entity
Organization
Contact information
Practice address
1595 HOLLY ST, WEST LINN, OR 97068-3326
(503) 344-6211
(503) 344-6991
Mailing address
333 S STATE ST V137, LAKE OSWEGO, OR 97034-5052
(503) 344-6211
(503) 344-6991
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD19493
OR
Other
Enumeration date
09/23/2010
Last updated
10/17/2016
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