Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Origins Functional Wellness, LLC

Organization Family Medicine Physician · NPI 1306326913

Origins Functional Wellness, LLC is a Family Medicine Physician in Jacksonville, Oregon. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

675 N 5th St
Jacksonville, OR 97530-9659
Phone: (432) 638-5747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1306326913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Griffin — Contracting · (541) 890-1602
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 14, 2018
Mailing address125 Ponderosa Way, Jacksonville, OR 97530-9018

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