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ORIGINS FUNCTIONAL WELLNESS, LLC
NPI 1306326913
Family Medicine in Jacksonville, OR

Active since August 14, 2018
675 N 5TH ST, JACKSONVILLE, OR 97530(432) 638-5747 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Origins Functional Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORIGINS FUNCTIONAL WELLNESS, LLC (NPI 1306326913) is a healthcare organization registered as a family medicine in Jacksonville, Oregon and active in the NPI registry since August 2018. The organization lists Kathleen Kay Griffin, Contracting, as its authorized official.

NPPES Registry Identity

NPI1306326913
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameORIGINS FUNCTIONAL WELLNESS, LLC
Location Address675 N 5TH STJacksonville, OR 97530-9659
Mailing Address125 Ponderosa WayJacksonville, OR 97530-9018 · (432) 638-5747
Phone(432) 638-5747
Organization SubpartNo
Authorized OfficialKathleen Kay GriffinContracting · (541) 890-1602
Enumeration DateAugust 14, 2018
✔ NPI 1306326913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
675 N 5TH ST, Jacksonville, OR 97530
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEBORAH LUETKENHOELTER BENSON M.A./CCC-SLP
Speech-Language Pathologist
675 N 5TH ST
JACKSONVILLE, OR 97530
Jackson County (541) 227-8307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Origins Functional Wellness, LLC's NPI number?

The NPI number for Origins Functional Wellness, LLC is 1306326913. It was assigned to this organization in the NPPES registry on August 14, 2018.

Where is Origins Functional Wellness, LLC located?

Origins Functional Wellness, LLC is located at 675 N 5th St, Jacksonville, OR 97530. The listed phone number is (432) 638-5747.

What is Origins Functional Wellness, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Origins Functional Wellness, LLC accept?

Health plans from Providence Health Plan list Origins Functional Wellness, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Origins Functional Wellness, LLC was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.