Provider Demographics
NPI:1992830723
Name:WELLPARTNER, INC
Entity type:Organization
Organization Name:WELLPARTNER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:503-718-5700
Mailing Address - Street 1:7216 SW DURHAM RD
Mailing Address - Street 2:SUITE P-200
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7594
Mailing Address - Country:US
Mailing Address - Phone:503-718-5700
Mailing Address - Fax:503-718-5701
Practice Address - Street 1:7216 SW DURHAM RD
Practice Address - Street 2:SUITE P-200
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97224-7594
Practice Address - Country:US
Practice Address - Phone:503-718-5700
Practice Address - Fax:503-718-5701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH - 0007146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty