OrganizationActive
Well Life Family Medicine, LLC
NPI 1760998355 · Clinic/Center · Salem, OR
Provider details
- NPI number
- 1760998355
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aubrey Harding, Owner(971) 301-4411
- License
- 3012 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1174 Cornucopia St Nw Ste 240
Salem, OR 97304
Phone: (971) 301-4411
Fax: (971) 999-7006
Street-level locationGet directions
Mailing address
1174 Cornucopia St Nw Ste 240
Salem, OR 97304-3193
Other names (DBA / former)
- Doing business as
- Willamette Valley Weight Loss, LLC
Additional practice locations (3)
- 1675 Sw Marlow Ave Ste 307Portland, OR 97225-5105Phone: (971) 301-4411Fax: (971) 999-7006
- 2651 Commercial St Se Ste 1Salem, OR 97302-4872Phone: (971) 301-4411Fax: (971) 999-7006
- 858 Commercial St NeSalem, OR 97301-1016Phone: (971) 301-4411Fax: (971) 999-7006
Registry dates
- Enumerated
- 2017-12-19
- Last updated
- 2019-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.