| Wellbe Oregon PC | |
|
3535 Del Webb Ave Ne Ste 120 Salem OR 97301-7499 | |
| (855) 445-9520 | |
| (971) 353-4148 |
| Full Name | Wellbe Oregon PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3535 Del Webb Ave Ne Ste 120, Salem, Oregon |
| Authorized Official Name and Position | Jeffrey Kang (CEO) |
| Authorized Official Contact | 3128554851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellbe Oregon PC 225 W Washington St Ste 1700 Chicago IL 60606-3404 | Wellbe Oregon PC 3535 Del Webb Ave Ne Ste 120 Salem OR 97301-7499 Ph: (855) 445-9520 |
| NPI Number | 1710678537 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Medicare PECOS PAC ID | 0547620866 |
|---|---|
| Medicare Enrollment ID | O20230719000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710678537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Jeffrey Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710429410 PECOS PAC ID: 8729231261 Enrollment ID: I20230719000290 |
| Provider Name | Iyad Houshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497773287 PECOS PAC ID: 3274538251 Enrollment ID: I20231213003550 |
| Provider Name | Julianne Bellavance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740232164 PECOS PAC ID: 3274895511 Enrollment ID: I20240108005788 |
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