| Origins Functional Wellness, Llc | |
|
675 N 5th St Jacksonville OR 97530-9659 | |
| (432) 638-5747 | |
| Not Available |
| Full Name | Origins Functional Wellness, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 675 N 5th St, Jacksonville, Oregon |
| Authorized Official Name and Position | Kathleen Kay Griffin (CONTRACTING) |
| Authorized Official Contact | 5418901602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origins Functional Wellness, Llc 125 Ponderosa Way Jacksonville OR 97530-9018 Ph: (432) 638-5747 | Origins Functional Wellness, Llc 675 N 5th St Jacksonville OR 97530-9659 Ph: (432) 638-5747 |
| NPI Number | 1306326913 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 08/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306326913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pmg South Jacksonville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 N 5th St, Suite 101, Jacksonville, OR 97530 Phone: 541-899-8686 | |
Healthy U Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7208 Highway 238, Jacksonville, OR 97530 Phone: 541-414-3130 |