OrganizationActive
Healthy Living Family Medicine, LLC
NPI 1376893826 · Family Medicine Physician · Portland, OR
Provider details
- NPI number
- 1376893826
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kerry Pullium, President(503) 239-8181
- License
- MD151149
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
314 Ne 19th Ave
Portland, OR 97232-2829
Phone: (503) 239-8181
Fax: (503) 548-4013
Street-level locationGet directions
Mailing address
314 Ne 19th Ave
Portland, OR 97232-2829
Registry dates
- Enumerated
- 2012-09-12
- Last updated
- 2012-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.