Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Living Well Medical, LLC

Organization Primary Care Nurse Practitioner · NPI 1508630856

Living Well Medical, LLC provides Primary Care Nurse Practitioner services in Brookings, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

524 Spruce St Ste 5
Brookings, OR 97415-0407
Phone: (541) 813-1505
Fax: (541) 813-1506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1508630856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Kreger — Np/Owner · (541) 813-1505
NPI enumeratedNovember 7, 2023
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing addressPo Box 488, Brookings, OR 97415-0043

Other providers in Brookings