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CORVALLIS MEDICAL GROUP LLC NPI 1740668649


NPI Information

NPI: 1740668649
Provider Name: CORVALLIS MEDICAL GROUP, LLC

Doing Business As: CORVALLIS PAIN MANAGEMENT

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2175 NW PROFESSIONAL DR
CORVALLIS, OR
ZIP 97330
Phone: (541) 286-4742
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CORVALLIS MEDICAL GROUP, LLC is an interventional pain medicine pain medicine in Corvallis, 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. CORVALLIS MEDICAL GROUP, LLC NPI is 1740668649. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Corvallis Pain Management.

The provider's business location address is:

2175 NW PROFESSIONAL DR
CORVALLIS, OR
ZIP 97330-886
Phone: (541) 286-4742
Fax: (541) 201-8633

The provider's authorized official is Patrick Rask .
The authorized official title is Physician/owner and has the following contact phone number (541) 286-4742.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 11/20/2020.


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 MedicineMD20927OREGONYes

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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