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Well Life Family Medicine, Llc
Clinic/Center in Salem, Oregon
NPI 1760998355

Well Life Family Medicine, Llc is a Clinic/Center based in Salem, OR. Well Life Family Medicine, Llc practices in Salem, OR. The NPI Number for Well Life Family Medicine, Llc is 1760998355 and holds a License No. 3012 (Oregon).

The current practice location address for Well Life Family Medicine, Llc is 1174 Cornucopia St Nw Ste 240, Salem, OR and can be reached out via phone at 971-301-4411 and via fax at 971-999-7006.

Location: 1174 Cornucopia St Nw Ste 240, Salem, OR, 97304-3193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760998355
Provider Name
Well Life Family Medicine, Llc
Credential
Provider Entity Type
Organization
Address
1174 Cornucopia St Nw Ste 240, Salem, OR, 97304-3193
Phone Number
971-301-4411
Fax Number
971-999-7006
Provider Enumeration Date
12/19/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500694138 05 OR
institution
Provider Business Practice Location Address Details
Address
1174 Cornucopia St Nw Ste 240
City
Salem
State
Oregon
Zip
97304
Phone Number
971-301-4411
Fax Number
971-999-7006
person
Provider Business Mailing Address Details
Address
1174 Cornucopia St Nw Ste 240
City
Salem
State
Oregon
Zip
97304
Phone Number
971-301-4411
Fax Number
971-999-7006
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
3012 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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