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PAIN CARE OF OREGON LLC NPI 1699793505


NPI Information

NPI: 1699793505
Provider Name: PAIN CARE OF OREGON, LLC

Doing Business As: PAIN SPECIALISTS OF SOUTHERN OREGON

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 38D2001704

Address:
825 BENNETT AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 779-5228
Get Directions

PAIN CARE OF OREGON, LLC is an interventional pain medicine pain medicine in Medford, 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 CARE OF OREGON, LLC NPI is 1699793505. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pain Specialists Of Southern Oregon.

The provider's business location address is:

825 BENNETT AVE
MEDFORD, OR
ZIP 97504-715
Phone: (541) 779-5228
Fax: (541) 772-1533

The provider's authorized official is Joseph M Savino .
The authorized official title is Partner/physician and has the following contact phone number (541) 779-5228.

The CLIA number assigned to this NPI record is 38D2001704 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 12/6/2012.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16711930001MEDICARE NSCOREGON
2028180MEDICAIDOREGON
3R120565MEDICARE PINOREGON

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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