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Contact Information

LIFEQUAL, LLC
1975 NW 167TH PL
BEAVERTON, OR97006-4908
 Phone: 503-531-9355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Acupuncturist

171100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LIFEQUAL LLC · (Female)

NPI Number 1124493580
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2015
Last updated 12/09/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 1281
  • OR License # 2193
  • OR License # AC169233
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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