Living Well Med Spa

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD21275 Issued in OR

Legal business name

LIVING WELL MED SPA

Practice address

1920 NW Amberglen Pkwy
Hillsboro, OR 97006-6980

Phone

(971) 327-4355

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

CHAD PFEFER MD PCAs reported in NPPES

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

Authorized official

Name

Dr. Chad Thomas Pfefer, M.D.NPI 1053423400

Title

President

Phone

(971) 327-4355

Specialties & licenses 1

Addresses

Part of

Chad T Pfefer MD PC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad T Pfefer, M.D.

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1053423400
  Authorized official Same address or phone

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1639510308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 NW AMBERGLEN PKWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066980",
            "telephone_number": "971-327-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 NW AMBERGLEN PKWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066980",
            "telephone_number": "971-327-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL MED SPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAD PFEFER MD PC",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "PFEFER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-327-4355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD21275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaeden Littleton
• Constance Liu, OTD
• I-Hui Ellen Liu, L.AC.
• Janny Liu
• Weitian Liu, MD, PHD
• Monica Lizama
• Hope Shannon Lizotte, MA
• Yulia Lobova, BA, QMHA
• Karin Loch, RN
• Sarah Lofgren, CRM

• Medical Specialty Clinic/Center in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.