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PAIN MANAGEMENT NORTHWEST INC NPI 1619178662


NPI Information

NPI: 1619178662
Provider Name: PAIN MANAGEMENT NORTHWEST, INC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
350 MILLER ST SE # 100
SALEM, OR
ZIP 97302
Phone: (503) 371-4647
Get Directions

PAIN MANAGEMENT NORTHWEST, INC 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. PAIN MANAGEMENT NORTHWEST, INC NPI is 1619178662. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 MILLER ST SE # 100
SALEM, OR
ZIP 97302
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) 371-4647.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 1/23/2019.


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
1174400000XSpecialist088393-91OREGONNo
2208VP0014XPain 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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