OrganizationActive
A Balanced Life Health Care
NPI 1083040869 · Health Maintenance Organization · Portland, OR
Provider details
- NPI number
- 1083040869
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Authorized official
- Debbie Vanett, Office Manager
- License
- 020704040 (OR)
Practice location
2005 Se Hawthorne Blvd
20th and Se Hawthorne
Portland, OR 97214-3819
Phone: (503) 236-4580
Fax: (503) 231-8400
Mailing address
2005 Se Hawthorne Blvd.
Portland, OR 97214
Registry dates
- Enumerated
- 2013-09-24
- Last updated
- 2013-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.