# WELLPARTNER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386748028
- **Authorized official:** SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 20800 SW 115TH AVE, STE 100, TUALATIN, OR 97062
- **Practice address phone:** (877) 935-5797
- **Practice address fax:** (866) 624-5797
- **Mailing address:** 1 CVS DR, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 0001957 | OR | — |
| 3336S0011X | Specialty Pharmacy | RPH-0001957-CS | OR | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 01/12/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 231000 | — | OR |