NORTHWEST PAIN MANAGEMENT INC NPI 1104991405

NPI Information

NORTHWEST PAIN MANAGEMENT INC is a medical specialty clinic center in Medford, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORTHWEST PAIN MANAGEMENT INC NPI is 1104991405. The provider is registered as an organization entity type.
The provider Is Doing Business As Intractable Pain Centers.

The provider's business location address is:

897 ROYAL AVE
SUITE C
MEDFORD, OR
ZIP 97504-121
Phone: (541) 770-1650
Fax: (541) 773-2470

The provider's authorized official is Thomas John Purtzer .
The authorized official title is President and has the following contact phone number (541) 770-1650.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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