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NPI · 1104787704 · NPPES-sourced

Pacificsource Pace, LLC

ActivePACE Provider Organization
NPI Number
1104787704
Type 2 · Organisation
Taxonomy Code
251T00000X
Contact
(425) 214-2526
Primary practice line
Last Updated
Enumerated
Primary practice addressOR · 97477-6013
555 International Way Ste B104Springfield, OR 97477-6013
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About this NPIWhat this record shows.

NPI 1104787704 is registered to Pacificsource Pace, LLC, a healthcare organisation classified as "PACE Provider Organization" and located at 555 International Way Ste B104 in Springfield, Oregon. The organisation's authorised official is Kristin Kernutt. The organisation has been enumerated in the NPI registry since 2025.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Pacificsource Pace, LLC accepts. To confirm in-network status with your specific health plan, contact Pacificsource Pace, LLC directly at (425) 214-2526.

Frequently asked

Yes. NPI 1104787704 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

PACE Provider Organization is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (425) 214-2526.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Pacificsource Pace, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy251T00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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