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Pacificsource Pace, LLC — NPI 1104787704, Springfield, OR | NPI Central

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NPI 1104787704

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Pacificsource Pace, LLC

NPI 1104787704 · PACE Provider Organization · Springfield, OR

Provider details

NPI number: 1104787704
Entity type: Organization
Primary specialty: PACE Provider OrganizationAgencies
Authorized official: Kristin Kernutt, Chief Legal Counsel

Practice location

555 International Way Ste B104

Springfield, OR 97477-6013

Phone: (425) 214-2526

More OR providers

Mailing address

555 International Way Ste B104

Springfield, OR 97477-6013

Registry dates

Enumerated: 2025-11-21
Last updated: 2026-04-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.