Life Medical LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LIFE MEDICAL LLC

Practice address

6650 SW Redwood LN Ste 150
Tigard, OR 97224-7184

Phone

(503) 443-2250

NPI assigned

Feb 12, 2025

Organization subpart

No

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

Authorized official

Name

David Kenny

Title

Administrator

Phone

(503) 399-0021

Specialties & licenses 5

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Lynn McGhee, FNP-C

  • Family Nurse Practitioner
  • Stayton, OR
  • NPI 1770060527
  NPD (past)
• Elizabeth Vanderveer, M.D.

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1811233141
  NPD (past)

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1447065636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 SW REDWOOD LN STE 150",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247184",
            "telephone_number": "503-443-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 SW REDWOOD LN STE 150",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247184",
            "telephone_number": "503-443-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Liberty St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024142",
            "country_code": "US",
            "telephone_number": "503-399-0021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-399-0021"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yan Li
• Connie L Liakos, RD, LD
• Jessica Lieu
• Life Encounter Counseling
• Life in Relation, LLC
• Lifesteps NW, Inc. (LifeSteps)
• Julia Lorene Lightsey
• Alexander Lihs
• Tzu Chun Lin
• Yongchuan Lin

• Nurse Practitioner in Tigard, OR
• Providers in Tigard, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.