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NPI Code Detail

MEDICARE: WELL UP MEDICAL, INC.

MEDICARE: WELL UP MEDICAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1811820913
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELL UP MEDICAL, INC.
Provider Business Mailing Address
First Line : 5656 AUTUMN GOLD DR
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-8715
Country : US
Telephone Number : 541-887-9425
Fax Number : 541-803-7963
Provider Business Practice Location Address
First Line : 621 KLAMATH AVE
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-6130
Country : US
Telephone Number : 548-887-9408
Fax Number : 541-803-7963
Authorized Official
Title or Position : PRESIDENT
Name : MR. JAMES PAUL EIMAN
Credential :
Telephone Number : 541-887-9425
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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