HEALTHY LIVING COMMUNITY
NPI 1700446085
Clinic/Center in Portland, OR

Q: What is Healthy Living Community's NPI number?

The NPI number for Healthy Living Community is 1700446085. It was assigned to this organization in the NPPES registry on June 18, 2019.

Q: What is Healthy Living Community's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 18, 2019CLIA 38D2064049 · Waiver

3605 SE 26TH AVE, PORTLAND, OR 97202(971) 231-4536(503) 376-3790 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2023, Jul 20, 2023, Jun 18, 2019 (3 updates tracked since 2019).

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About Healthy Living Community NPPES

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

HEALTHY LIVING COMMUNITY (NPI 1700446085) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Matthew S Whitacre, Medical Director / Md, as its authorized official.

NPPES Registry Identity

NPI1700446085

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameHEALTHY LIVING COMMUNITY

Location Address3605 SE 26TH AVEPortland, OR 97202-2953

Mailing Address3605 Se 26th AvePortland, OR 97202-2953 · (971) 231-4536 · Fax (503) 376-3790

Phone(971) 231-4536

Fax(503) 376-3790

Organization SubpartNo

Authorized OfficialMatthew S WhitacreMedical Director / Md · (360) 640-8833

Enumeration DateJune 18, 2019

Last NPPES UpdateJuly 26, 20233 updates tracked since enumeration

NPPES CertifiedJuly 26, 2023

✔ NPI 1700446085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedFamily MedicineTaxonomy 207Q00000X

3605 SE 26TH AVE, Portland, OR 97202

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2064049

Healthy Living Community · Portland, OR

Active · expires Aug 12, 2027

CLIA Number38D2064049

Laboratory TypePhysician Office

Certificate Effective DateAugust 13, 2025

Certificate Expiration DateAugust 12, 2027

Laboratory DirectorDr. Matthew Whitacre

Laboratory Phone(971) 231-4536

Laboratory LocationHealthy Living Community3605 SE 26th Ave, Portland, OR 97202

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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