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NEW LIFE WELLNESS LLC
NPI 1508463639
Preventive Medicine - Addiction Medicine in Hermiston, OR

Active since October 01, 2020CLIA 38D2309350 · Certificate of Compliance
256 E HURLBURT AVE STE 117, HERMISTON, OR 97838(541) 303-3558(509) 593-4644 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2026, Nov 14, 2025, Jun 26, 2025 and 11 more (14 updates tracked since 2020).

About New Life Wellness Llc NPPES

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

NEW LIFE WELLNESS LLC (NPI 1508463639) is a healthcare organization registered as an addiction medicine in Hermiston, Oregon and active in the NPI registry since October 2020. The organization holds a CLIA Certificate of Compliance certificate valid through December 12, 2026, maintains 10 additional practice locations, and lists Randall Kelly, Physician Assistant, Owner, as its authorized official.

NPPES Registry Identity

NPI1508463639
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameNEW LIFE WELLNESS LLC
Location Address256 E HURLBURT AVE STE 117Hermiston, OR 97838-2443
Mailing Address5426 Road 68 Ste D253Pasco, WA 99301-5268 · (541) 303-3558 · Fax (509) 593-4644
Phone(541) 303-3558
Fax(509) 593-4644
Organization SubpartNo
Authorized OfficialRandall KellyPhysician Assistant, Owner · (206) 418-8222
Enumeration DateOctober 1, 2020
Last NPPES UpdateJune 10, 202614 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1508463639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
256 E HURLBURT AVE STE 117, Hermiston, OR 97838
Open in Google Maps ↗

Secondary Practice Locations 10

Location 14909 S Coast Hwy Ste 1KSouth Beach, OR 97366-9667 · Phone (541) 303-3558 · Fax (509) 593-4644
Location 22900 NW Clearwater DrBend, OR 97703-9410 · Phone (541) 303-3558 · Fax (509) 593-4644
Location 371 Centennial Loop Ste AEugene, OR 97401-2443 · Phone (541) 303-3558 · Fax (509) 593-4644
Location 4520 NW 4th StCorvallis, OR 97330-6411 · Phone (541) 303-3558 · Fax (509) 593-4644
Location 51901 Garden Ave Ste 210Eugene, OR 97403-4301 · Phone (541) 303-3558 · Fax (509) 593-4644
Location 6761 Main StDallas, OR 97338-3108 · Phone (541) 303-3558 · Fax (509) 593-4644
Location 71345 NW 15th StLincoln City, OR 97367-3327 · Phone (541) 303-3558 · Fax (509) 593-4644
Location 81110 SE Alder St Ste 301Portland, OR 97214-2400 · Phone (541) 303-3558 · Fax (509) 593-4644
Location 9278 E High St Ste 209Stayton, OR 97383-1788 · Phone (541) 303-3558 · Fax (509) 593-4644
Location 10124 W Kennewick Ave Ste 11Kennewick, WA 99336-3830 · Phone (541) 303-3558 · Fax (509) 593-4644

Other Identifiers 1

Medicaid500698482OR

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 BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 38D2309350

New Life Wellness LLC · Hermiston, OR
Active · expires Dec 12, 2026
CLIA Number38D2309350
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorRandall Kelly
Laboratory Phone(206) 418-8222
Laboratory LocationNew Life Wellness LLC256 Hurlburt Ave Suite 117, Hermiston, OR 97838
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

PERFECTLY BROKEN LLC
Counselor (Addiction (Substance Use Disorder))
256 E HURLBURT AVE STE 117
HERMISTON, OR 97838
Umatilla County (541) 429-0313
MR. RANDALL DOUGLAS KELLY MHS, DMSC, PA-C
Physician Assistant
256 E HURLBURT AVE STE 117
HERMISTON, OR 97838
Umatilla County (541) 303-3558

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 New Life Wellness LLC's NPI number?

The NPI number for New Life Wellness LLC is 1508463639. It was assigned to this organization in the NPPES registry on October 1, 2020.

Where is New Life Wellness LLC located?

New Life Wellness LLC is located at 256 E Hurlburt Ave Ste 117, Hermiston, OR 97838. The listed phone number is (541) 303-3558.

What is New Life Wellness LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Does New Life Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 38D2309350) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does New Life Wellness LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list New Life 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 New Life Wellness LLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.