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New Life Wellness LLC

Addiction Medicine (Preventive Medicine) Physician in Hermiston, OR · enumerated 2020 · authorized official Randall Kelly, Physician Assistant, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508463639

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Registry record

Entity type Organization (Type 2)
Legal business name New Life Wellness LLC
Practice address 256 E Hurlburt Ave Ste 117, Hermiston, OR, 97838
Phone (541) 303-3558
Fax (509) 593-4644
Enumeration date Oct 1, 2020
Last updated in NPPES Jun 10, 2026

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
2083A0300X Addiction Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Primary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Randall Kelly
Title Physician Assistant, Owner
Phone (206) 418-8222

Other identifiers

Identifier Type State Issuer
500698482 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for New Life Wellness LLC?
NPPES lists Randall Kelly (Physician Assistant, Owner) as the authorized official for this organization.
What is the NPI number for New Life Wellness LLC?
The NPI for New Life Wellness LLC is 1508463639, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-10.