38D2001704 CLIA NUMBER - PAIN CARE OF OREGON LLC

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Laboratory Demographics

CLIA Number: 38D2001704

Facility Name: PAIN CARE OF OREGON LLC

Facility Address:
825 BENNETT AVE
MEDFORD, OR
ZIP 97504
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Facility Phone Number: 541 621-6092

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1699793505

Taxonomy: 208VP0014X - Pain Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	38D2001704
LAB Type	Physician Office
Facility Name	PAIN CARE OF OREGON LLC
Street	825 BENNETT AVE
City	MEDFORD
State	OR
ZIP	97504
Phone	541 621-6092
CertificateType	1
CertificateEffectiveDate	4/24/2023
CertificateExpirationDate	4/23/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024