Pacificsource Pace, LLC
Pacificsource Pace, LLC is a PACE Provider Organization in Springfield, Oregon. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
555 International Way Ste B104Springfield, OR 97477-6013
Phone: (458) 544-0400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
|---|
Record details
| NPI number | 1104787704 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristin Kernutt — Chief Legal Counsel · (541) 225-1967 |
| NPI enumerated | November 21, 2025 |
| Last updated in NPPES | July 16, 2026 |
| Certification date | July 16, 2026 |
| Mailing address | 555 International Way Ste B104, Springfield, OR 97477-6013 |