Organization · Type 2 NPI
Pacificsource Pace, LLC
PACE Provider Organization · Springfield, OR
Practice location
555 International Way Ste B104
Springfield, OR 97477-6013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| PACE Provider Organization Primary | 251T00000X | None listed |
PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…
About NPI 1104787704
Pacificsource Pace, LLC's National Provider Identifier is 1104787704, issued on Nov 21, 2025. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Springfield, OR. The record was last updated on Jul 16, 2026.