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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

NPI # 1124493580
LBN Legal business name LIFEQUAL, LLC
Authorized official VIJAY SHANKAR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2015
Last updated 12/09/2015 - About 11 years ago
Identifiers
OR License # 1281
OR License # 2193
OR License # AC169233
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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