LIFE MEDICAL LLC
NPI 1447065636
Nurse Practitioner in Tigard, OR

Active since February 12, 2025
6650 SW REDWOOD LN STE 150, TIGARD, OR 97224(503) 443-2250 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE MEDICAL LLC (NPI 1447065636) is a healthcare organization registered as a nurse practitioner in Tigard, Oregon and active in the NPI registry since February 2025. The organization maintains a secondary practice location in Salem and lists David Kenny, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447065636
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLIFE MEDICAL LLC
Location Address6650 SW REDWOOD LN STE 150Tigard, OR 97224-7184
Mailing Address6650 Sw Redwood Ln Ste 150Tigard, OR 97224-7184 · (503) 443-2250
Organization SubpartNo
Authorized OfficialDavid KennyAdministrator · (503) 399-0021
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
NPI 1447065636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedNaturopathTaxonomy 175F00000X
6650 SW REDWOOD LN STE 150, Tigard, OR 97224

Secondary Practice Location 1

Location 11115 Liberty St SESalem, OR 97302-4142 · Phone (503) 399-0021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Medical LLC's NPI number?

The NPI number for Life Medical LLC is 1447065636. It was assigned to this organization in the NPPES registry on February 12, 2025.

Where is Life Medical LLC located?

Life Medical LLC is located at 6650 SW Redwood Ln Ste 150, Tigard, OR 97224. The listed phone number is (503) 443-2250.

What is Life Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Life Medical LLC was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.