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LIBERTY SPINE & PAIN CENTER P.C. NPI 1578077954


NPI Information

NPI: 1578077954
Provider Name: LIBERTY SPINE & PAIN CENTER, P.C.
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
350 MILLER ST SE
SALEM, OR
ZIP 97302
Phone: (503) 371-4647
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LIBERTY SPINE & PAIN CENTER, P.C. is an interventional pain medicine pain medicine in Salem, OR. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. LIBERTY SPINE & PAIN CENTER, P.C. NPI is 1578077954. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 MILLER ST SE
SALEM, OR
ZIP 97302-272
Phone: (503) 371-4647
Fax: (503) 584-7856

The provider's authorized official is Craig D Anderson .
The authorized official title is President and has the following contact phone number (503) 569-3254.

The enumeration date for this NPI number is 11/21/2017 and was last updated on 11/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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