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WILLAMETTE VALLEY WEIGHT LOSS, LLC
NPI 1760998355
Clinic/Center in Salem, OR

Active since December 19, 2017CLIA Certified · 3 labs
1174 CORNUCOPIA ST NW STE 240, SALEM, OR 97304(971) 301-4411(971) 999-7006 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2019, Nov 8, 2018, Dec 19, 2017 (3 updates tracked since 2017).

About Willamette Valley Weight Loss, Llc NPPES

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

WILLAMETTE VALLEY WEIGHT LOSS, LLC (NPI 1760998355) is a healthcare organization registered as a clinic/center in Salem, Oregon and active in the NPI registry since December 2017. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Aubrey Lynn Harding, Owner, as its authorized official.

NPPES Registry Identity

NPI1760998355
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWELL LIFE FAMILY MEDICINE, LLC
Location Address1174 CORNUCOPIA ST NW STE 240Salem, OR 97304
Mailing Address1174 Cornucopia St Nw Ste 240Salem, OR 97304-3193 · (971) 301-4411 · Fax (971) 999-7006
Phone(971) 301-4411
Fax(971) 999-7006
Organization SubpartNo
Authorized OfficialAubrey Lynn HardingOwner · (971) 301-4411
Enumeration DateDecember 19, 2017
Last NPPES UpdateJanuary 7, 20193 updates tracked since enumeration
✔ NPI 1760998355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in OR · 3012
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1174 CORNUCOPIA ST NW STE 240, Salem, OR 97304
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Other Names 1

Doing Business AsWillamette Valley Weight Loss, Llc

Secondary Practice Locations 3

Location 12651 Commercial St SE Ste 1Salem, OR 97302-4872 · Phone (971) 301-4411 · Fax (971) 999-7006
Location 2858 Commercial St NESalem, OR 97301-1016 · Phone (971) 301-4411 · Fax (971) 999-7006
Location 31675 SW Marlow Ave Ste 307Portland, OR 97225-5105 · Phone (971) 301-4411 · Fax (971) 999-7006

Other Identifiers 1

Medicaid500694138OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 Waiver 38D2160401

Well Life Family Medicine LLC · Salem, OR
Active · expires Jan 9, 2027
CLIA Number38D2160401
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorAubrey L. Harding
Laboratory Phone(971) 301-4411
Laboratory LocationWell Life Family Medicine LLC1174 Cornucopia St NW Suite 240, Salem, OR 97304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2173027

Welllife Family Medicine LLC · Hillsboro, OR
Active · expires Oct 2, 2027
CLIA Number38D2173027
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorAubrey L. Harding
Laboratory Phone(971) 301-4411
Laboratory LocationWelllife Family Medicine LLC256 SE 2nd Ave, Hillsboro, OR 97123
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2317977

Well Life Medicine LLC · Salem, OR
Active · expires Feb 3, 2027
CLIA Number38D2317977
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorAubrey L. Harding
Laboratory Phone(971) 301-4411
Laboratory LocationWell Life Medicine LLC1610 12th St SE, Salem, OR 97302
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

FRANCESCA NEGREANU ND
Naturopath
1174 CORNUCOPIA ST NW STE 240
SALEM, OR 97304
Polk County (971) 301-4411
DR. AUBREY LYNN HARDING N.D.
Naturopath
1174 CORNUCOPIA ST NW STE 240
SALEM, OR 97304
Polk County (971) 301-4411
SARA MARIE THOMPSON
Registered Nurse (Case Management)
1174 CORNUCOPIA ST NW STE 240
SALEM, OR 97304
Polk County (971) 301-4411
MARINA BANDERAS CHW
Community Health Worker
1174 CORNUCOPIA ST NW STE 240
SALEM, OR 97304
Polk County (971) 301-4411
DR. EMMA STACEY ND
Naturopath
1174 CORNUCOPIA ST NW STE 240
SALEM, OR 97304
Polk County (971) 301-4411

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 Well Life Family Medicine, LLC's NPI number?

The NPI number for Well Life Family Medicine, LLC is 1760998355. It was assigned to this organization in the NPPES registry on December 19, 2017. The provider is doing business as Willamette Valley Weight Loss, LLC.

Where is Well Life Family Medicine, LLC located?

Well Life Family Medicine, LLC is located at 1174 Cornucopia St NW Ste 240, Salem, OR 97304. The listed phone number is (971) 301-4411.

What is Well Life Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Well Life Family Medicine, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Well Life Family Medicine, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Well Life Family Medicine, 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 Well Life Family Medicine, LLC was last updated on January 7, 2019. 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.