Active NPI
Livewell Clinic LLC
- Primary Care Clinic/Center
- Beaverton, OR
National Provider Identifier
1003535378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- LIVEWELL CLINIC LLC
- Practice address
- 10700 SW Beaverton Hillsdale Hwy Ste 300a-4
Beaverton, OR 97005-3019 - Phone
- (503) 887-0311
- Fax
- (503) 530-8581
- NPI assigned
- Aug 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luciana Arcas, FNP-C
- Title
- Owner
- Phone
- (503) 805-1186
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
10700 SW Beaverton Hillsdale Hwy Ste 300a-4
Beaverton, OR 97005-3019
Mailing address
10700 SW Beaverton Hillsdale Hwy Ste 300a-4
Beaverton, OR 97005-3019
Phone (503) 887-0311
National Provider Directory
National Provider DirectoryLocations
10700 SW Beaverton Hillsdale Hwy
Ste 300A4
Beaverton, OR 97005
Phone (503) 887-0311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Portland, OR
- NPI 1902237613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690416000000",
"number": "1003535378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 300A-4",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053019",
"telephone_number": "503-887-0311",
"fax_number": "503-530-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 300A-4",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053019",
"telephone_number": "503-887-0311",
"fax_number": "503-530-8581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVEWELL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-22",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A",
"authorized_official_last_name": "ARCAS",
"authorized_official_first_name": "LUCIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-805-1186",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.