Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Living Waters Counsel LLC

Organization Counselor · NPI 1043080245

Living Waters Counsel LLC is a Counselor in Beaverton, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14376 SW Farmington Rd
Beaverton, OR 97005-2524
Phone: (503) 567-7604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1043080245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elysia Chan — Owner · (510) 282-6895
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address7018 Sw 156th Ave, Beaverton, OR 97007-6801

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