Organization
LIVING WELL MED SPA
Active
Parent organization
CHAD PFEFER MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHAD PFEFER MD PC
Authorized official
DR. CHAD THOMAS PFEFER M.D. (PRESIDENT)
(971) 327-4355
Entity
Organization
Contact information
Practice address
1920 NW AMBERGLEN PKWY, HILLSBORO, OR 97006-6980
(971) 327-4355
Mailing address
1920 NW AMBERGLEN PKWY, HILLSBORO, OR 97006-6980
(971) 327-4355
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD21275
OR
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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