Organization
LIVEWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAGNAR SCOTT NP (FOUNDER)
(509) 596-1138
Entity
Organization
Contact information
Practice address
7820 NE HOLMAN ST STE B7, PORTLAND, OR 97218-2859
(509) 596-1138
(971) 308-7811
Mailing address
1224 NE WALNUT ST # 371, ROSEBURG, OR 97470-2026
(509) 596-1138
(971) 308-7811
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
09/18/2025
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