Healthcare Provider Details

I. General information

NPI: 1538076963
Provider Name (Legal Business Name): WELBEHEALTH OREGON PACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 LANCASTER DRIVE NE
SALEM OR
97305
US

IV. Provider business mailing address

440 N BARRANCA AVE # 4051
COVINA CA
91723-1722
US

V. Phone/Fax

Practice location:
  • Phone: 800-555-9980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER GEORGE
Title or Position: VP, OPERATIONS
Credential:
Phone: 626-765-3544