| Luminify LLC | |
|
19365 Sw 65th Ave Ste 205 Tualatin OR 97062-9196 | |
| (971) 825-2015 | |
| Not Available |
| Full Name | Luminify LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 19365 Sw 65th Ave Ste 205, Tualatin, Oregon |
| Authorized Official Name and Position | Charity Capuras (OWNER AND MEDICAL DIRECTOR) |
| Authorized Official Contact | 9718252015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminify LLC 19365 Sw 65th Ave Ste 205 Tualatin OR 97062-9196 Ph: (971) 825-2015 | Luminify LLC 19365 Sw 65th Ave Ste 205 Tualatin OR 97062-9196 Ph: (971) 825-2015 |
| NPI Number | 1811821796 |
|---|---|
| Provider Enumeration Date | 06/09/2026 |
| Last Update Date | 06/09/2026 |
| Certification Date | 06/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811821796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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