Healthcare Provider Details

I. General information

NPI: 1689596231
Provider Name (Legal Business Name): MEADOW HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5916 SW NYBERG LN STE 204
TUALATIN OR
97062-9750
US

IV. Provider business mailing address

3 MONROE PKWY STE P892
LAKE OSWEGO OR
97035-1486
US

V. Phone/Fax

Practice location:
  • Phone: 925-922-7195
  • Fax:
Mailing address:
  • Phone: 925-922-7195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALIVIA PARRISH
Title or Position: OWNER
Credential:
Phone: 925-922-7195