OrganizationActive
Healthy Living Internal Medicine LLC
NPI 1033532668 · Primary Care Clinic/Center · Portland, OR
Provider details
- NPI number
- 1033532668
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Enrique Gomez Morayta, Chairperson/Md(971) 285-0065
- License
- MD165430 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9221 Sw Barbur Blvd
Ste 208
Portland, OR 97219-5408
Phone: (971) 285-0065
Fax: (888) 977-1630
Street-level locationGet directions
Mailing address
9221 Sw Barbur Blvd
Portland, OR 97219-5408
Registry dates
- Enumerated
- 2014-02-03
- Last updated
- 2014-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.