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PORTLAND PAIN SOLUTIONS LLC NPI 1104400621


NPI Information

NPI: 1104400621
Provider Name: PORTLAND PAIN SOLUTIONS LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1945 CONGRESS ST STE 103
PORTLAND, ME
ZIP 04102
Phone: (207) 835-8116
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PORTLAND PAIN SOLUTIONS LLC is a pain clinic center in Portland, ME. PORTLAND PAIN SOLUTIONS LLC NPI is 1104400621. The provider is registered as an organization entity type.

The provider's business location address is:

1945 CONGRESS ST STE 103
PORTLAND, ME
ZIP 04102-967
Phone: (207) 835-8116

The provider's authorized official is Frederick Craig Littlejohn .
The authorized official title is President and has the following contact phone number (207) 631-3194.

The enumeration date for this NPI number is 5/11/2021 and was last updated on 5/3/2022.


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
1261QP3300XClinic/CenterPainYes

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: 4/28/2024

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