Healthcare Provider Details

I. General information

NPI: 1811820913
Provider Name (Legal Business Name): WELL UP MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 KLAMATH AVE
KLAMATH FALLS OR
97601-6130
US

IV. Provider business mailing address

5656 AUTUMN GOLD DR
KLAMATH FALLS OR
97601-8715
US

V. Phone/Fax

Practice location:
  • Phone: 548-887-9408
  • Fax: 541-803-7963
Mailing address:
  • Phone: 541-887-9425
  • Fax: 541-803-7963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES PAUL EIMAN
Title or Position: PRESIDENT
Credential:
Phone: 541-887-9425