HEALTHY LIVING FAMILY MEDICINE, LLC


Address: 314 Ne 19th Ave, Portland, OR 97232-2829
Phone: 5032398181

HEALTHY LIVING FAMILY MEDICINE, LLC (NPI# 1376893826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376893826
Entity Type Organization
Organization Name HEALTHY LIVING FAMILY MEDICINE, LLC
Practice Address 314 Ne 19th Ave
Portland
OR 97232-2829
Practice Telephone 5032398181
Practice Fax Number 5035484013
Mailing Telephone 5032398181
Mailing Fax Number 5035484013
Enumeration Date 2012-09-12
Last Update Date 2012-09-12
Authorized Official Name KERRY A PULLIUM (PRESIDENT)
Authorized Official Telephone 5032398181
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD151149 Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1497902373 01

Office Location

Street Address 314 NE 19TH AVE
City PORTLAND
State OR
Zip Code 97232-2829

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225246440 Elizabeth Jo Nelson Counselor 314 Ne 19th Ave, Portland, OR 97232-2829 2007-05-20
1497216592 Vera Alcorn Naturopath 314 Ne 19th Ave, Portland, OR 97232-2829 2019-03-29
1740764927 Matthew Raymond Hicks Naturopath 314 Ne 19th Ave, Portland, OR 97232-2829 2018-09-24
1285185850 Lindsay Rodgers Naturopath 314 Ne 19th Ave, Portland, OR 97232-2829 2016-10-19
1083169148 Kelly Austin Mcclung Massage Therapist 314 Ne 19th Ave, Portland, OR 97232-2829 2016-08-18
1831542224 Anne W Taylor Counselor 314 Ne 19th Ave, Portland, OR 97232-2829 2016-07-20
1306216155 After Counseling, LLC Community/Behavioral Health 314 Ne 19th Ave, Portland, OR 97232-2829 2015-10-05
1528460813 Jacob Creviston Nurse Practitioner 314 Ne 19th Ave, Portland, OR 97232-2829 2014-09-18
1265870315 Heather M Schrock Nutritionist 314 Ne 19th Ave, Portland, OR 97232-2829 2013-06-11
1265795991 Amenda, LLC Nutritionist 314 Ne 19th Ave, Portland, OR 97232-2829 2012-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293215 Oregon Change Clinic Clinic/Center 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 2020-10-17
1154969947 Lori Kristen Miracle Acupuncturist Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 2019-12-12
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639710783 Christine Elizabeth O'connor Family Medicine 6336 Se 61st Ave, Portland, OR 97206-6718 2019-09-30
1427608645 Carehere LLC Family Medicine Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 2019-09-19
1063064285 Victoria A Deane Family Medicine 37 Fall Brook St, Portland, ME 04103-4224 2019-07-09
1598238214 Whole Systems Healthcare Family Medicine 1020 Sw Taylor St Ste 340, Portland, OR 97205-2508 2019-01-04
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1871943159 Micah Kiehl Family Medicine 4427 Ne Fremont St, Portland, OR 97213-1153 2016-06-16
1083068589 Carrie Lynn Binder Family Medicine 1035 Nw Northrup St, Portland, OR 97209-3017 2016-04-20
1437513835 Kayce A Spear Family Medicine 10803 Se Cherry Blossom Drive, Portland, OR 97216-3107 2016-04-12
1992175509 Lone Star Evaluations Inc. Family Medicine 1500 Wildcat Dr Ste M, Portland, TX 78374-2826 2015-09-25
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Competitor

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City PORTLAND
Zip Code 97232

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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