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LIFE BALANCE NORTHWEST LLC NPI 1538477500


NPI Information

NPI: 1538477500
Provider Name: LIFE BALANCE NORTHWEST, LLC

Doing Business As: LIFE BALANCE NORTHWEST

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
1595 HOLLY ST
WEST LINN, OR
ZIP 97068
Phone: (503) 344-6211
Get Directions

LIFE BALANCE NORTHWEST, LLC is a child and adolescent psychiatry psychiatry neurology in West Linn, OR. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. LIFE BALANCE NORTHWEST, LLC NPI is 1538477500. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Life Balance Northwest.

The provider's business location address is:

1595 HOLLY ST
WEST LINN, OR
ZIP 97068-326
Phone: (503) 344-6211
Fax: (503) 344-6991

The provider's authorized official is Ann Marie Childers .
The authorized official title is Psychiatrist and has the following contact phone number (503) 344-6211.

The enumeration date for this NPI number is 9/23/2010 and was last updated on 10/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMD19493OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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