WELL LIFE FAMILY MEDICINE LLC NPI 1760998355

NPI Information

WELL LIFE FAMILY MEDICINE, LLC is a clinic center in Salem, OR. The provider is 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). WELL LIFE FAMILY MEDICINE, LLC NPI is 1760998355. The provider is registered as an organization entity type.
The provider Is Doing Business As Willamette Valley Weight Loss, Llc.

The provider's business location address is:

1174 CORNUCOPIA ST NW STE 240
SALEM, OR
ZIP 97304
Phone: (971) 301-4411
Fax: (971) 999-7006

The provider's authorized official is Aubrey Lynn Harding .
The authorized official title is Owner and has the following contact phone number (971) 301-4411.

The enumeration date for this NPI number is 12/19/2017 and was last updated on 1/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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