Healthy Living Internal Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD165430 Issued in OR

Legal business name

HEALTHY LIVING INTERNAL MEDICINE LLC

Practice address

9221 SW Barbur Blvd
Ste 208
Portland, OR 97219-5408

Phone

(971) 285-0065

Fax

(888) 977-1630

NPI assigned

Feb 3, 2014

Last updated

Apr 9, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Enrique Gomez Morayta, M.D.

Title

Chairperson/MD

Phone

(971) 285-0065

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1033532668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 SW BARBUR BLVD",
            "address_2": "STE 208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195408",
            "telephone_number": "971-285-0065",
            "fax_number": "888-977-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 SW BARBUR BLVD",
            "address_2": "STE 208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195408",
            "telephone_number": "971-285-0065",
            "fax_number": "888-977-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "GOMEZ MORAYTA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "CHAIRPERSON/MD",
        "authorized_official_telephone_number": "971-285-0065",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD165430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Family Wellness
• Healthy Happy Now Natural Medicine
• Healthy Living at Home - Portland LLC (Mission Home Health of Portland)
• Healthy Living Community
• Healthy Living Family Medicine, LLC
• Healthy Options Inc (Postal Prescription Services)
• Healthy Options Inc. (Postal Prescription Services)
• Healthy Smiles Dental Hygiene Clinic
• Angelie Rose Healy Cleaver, LCSW
• Alison Marie Healy, LAC

• Primary Care Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.