<Unavail>

LBN: Lilac Wellness
<Unavail> is an health care organization with primary practice located at 2651 Commercial St Se Ste 1 , Salem OR 97302-4872. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Lilac Wellness can be contacted via phone (503) 587-9937, or through Connell, Pam via phone (503) 587-9937.

Contact Information

Primary practice address
2651 Commercial St Se Ste 1 Salem OR 97302-4872
Phone: (503) 587-9937
Fax: (503) 994-8049
Website:
Map and Directions
Authorized official contact:
Name: Connell, Pam
Phone: (503) 587-9937

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1104322841
LBN Legal business name Lilac Wellness
DBA Doing business as <Unavail>
Authorized official Connell, Pam
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2018
Last updated Dec 13th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104322841 NPPES
Oregon MEDICAID 500688899

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